Family Service Stress Test

Stress Survey
Instructions: Put a check in the box(es) next to the events(s) that have taken place in your life within the last 12 months to determine your level of stress.

	1. Death of a significant other
	2. Divorce
	3. Marital separation
	4. Jail term
	5. Death of a close family member
	6. Personal injury or illness
	7. Marriage
	8. Fired from work
	9. Marital reconciliation
	10. Retirement
	11. Change in family member's health
	12. Pregnancy
	13. Sex difficulties
	14. Addition to family
	15. Business re-adjustment
	16. Changes in financial status
	17. Death of a close friend
	18. Change to different line of work
	19. Change in number of marital arguments
	20. Mortgage or loan over $10,000
	21. Foreclosure of mortgage or loan
	22. Change in work responsibilities
	23. Son or daughter leaving home
	24. Trouble with in-laws
	25. Outstanding personal achievement
	26. Spouse begins or stops working
	27. Starting or finishing school
	28. Change in living conditions
	29. Revision of personal habits
	30. Trouble with boss
	31. Change in working hours or conditions
	32. Change in residence
	33. Change in schools
	34. Change in recreation habits
	35. Change in church activities
	36. Change in social activities
	37. Mortgage or loan under $10,000
	38. Change in sleeping habits
	39. Change in number of family gatherings
	40. Change in eating habits
	41. Vacation
	42. Christmas season
	43. Minor violation of the law

Feeling stressed? Take this test.

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