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Stress Questionnaire
STRESS
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QUESTIONNAIRE
Full name
Date
Email Address
I frequently bring work home at night
Yes
No
Not enough hours in the day to do all the things that I must do
Yes
No
I deny or ignore problems in the hope that they will go away
Yes
No
I do the jobs myself to ensure thay are done properly
Yes
No
I underestimate how long it takes to do things
Yes
No
I feel that there are too many deadlines in my work/life that are difficult to meet
Yes
No
My self confidence/self esteem is lower than I would like it to be
Yes
No
I frequently have guilty feelings if I relax and do nothing
Yes
No
I find myself thinking about problems even when I am supposed to be relaxing
Yes
No
I feel fatigued and tired even when I wake after an adequate sleep
Yes
No
I often nod or finish other peoples sentences for them when they speak slowly
Yes
No
I have a tendency to eat, talk, walk and drive quickly
Yes
No
My appetite has changed, have either a desire to binge or have a loss of appetite/may skip meals
Yes
No
I feel irritated or angry if the car or traffic in front seems to be going too slowly/ I become frustrated at having to wait in a queue
Yes
No
If something or someone really annoys me I will bottle up my feelings
Yes
No
When I play sport or games, i really try to win whoever I play
Yes
No
I experience mood swings, difficulty making decisions, concentration and memory is impaired
Yes
No
I find fault and criticise others rather than praising, even if it is deserved
Yes
No
I seem to be listening even though I am preoccupied with my own thoughts
Yes
No
My sex drive is lower, can experience changes to my menstrual cycle
Yes
No
I find myself grinding my teeth
Yes
No
Increase in muscular aches and pains especially in the neck, head, lower back, shoulders
Yes
No
I am unable to perform tasks as well as I used to, my judgement is clouded or not as good as it was
Yes
No
I find I have a greater dependency on alcolhol, caffeine, nicotine or drugs
Yes
No
I find that I don't have time for many interests/ hobbies outside of work
Yes
No
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