Check the boxes next to any physical or psychological symptoms you are experiencing. When finished click the calculate stress button to determine your stress level.

 

Physical Symptoms

Backaches
Tight muscles
Neck and shoulder pain
Jaw tension
Muscle cramps, spasms
Nervous stomach
Other pain
Nausea
Insomnia
Fatigue, lack of energy
Cold hands/ feet
Tightness or pressure in the head
High blood pressure
Diarrhea
Skin conditions (i.e. rash)
Allergies
Teeth grinding
Digestive upsets
Heart beats rapidly or pounds even at rest
Stomach pain or ulcers
Constipation
Hypoglycemia
Appetite change
Colds
Profuse perspiration
Overeating
Weight change
When nervous, use of alcohol, cigarettes, or recreational drugs

Psychological Symptoms

Anxiety
Depression
Confusion or “spaciness”
Irrational fears
Compulsive behavior
Forgetfulness
Feeling “overloaded” or “overwhelmed”
Hyperactivity—feeling you can’t slow down
Mood swings
Loneliness
Problems with relationships
Dissatisfies/ unhappy with work
Difficulty concentrating
Frequent irritability
Restlessness
Frequent boredom
Frequent worrying or obsessing
Frequent guilt
Temper flare-up
Crying spells
Nightmares
Apathy
Sexual Problems

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