Rate your stress level

STRESS RATING  – STRESS SYMPTOM SCALE

Rate the frequency that you experienced the items listed below in the past two weeks.

0 = Never 
1 = Sometimes
 
2 = Often
 
3 = Very often

Physical Symptoms

  • Fatigue or tiredness ___
  • Pounding heart ___
  • Rapid pulse ___
  • Increased perspiration ___
  • Rapid breathing ___
  • Aching neck or shoulders ___
  • Low back pain ___
  • Gritting teeth/clenching jaw ___
  • Hives or skin rash ___
  • Headaches ___
  • Cold hands or feet ___
  • Tightness in chest ___
  • Nausea ___
  • Diarrhea or constipation ___
  • Stomach discomfort ___
  • Nail biting ___
  • Twitches or tics ___
  • Difficulty swallowing or dry mouth ___
  • Colds or flu ___
  • Lack of energy ___

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