STRESS ASSESSMENT TEST (LIFE SCORE)
This is the life STRESS SCORE that you have accumulated so far.
Group I :
FACTORS NOT WITHIN THE CONTROL OF INDIVIDUAL01.PARENT?S LONGEVITY: [ ]
(0) Both parents 75 or more at death, or both alive;(1) Both parents 60-74 ; (2) One parent 75 or more, one below 60; (3) One parent 60-74, one below 60; (4) Both parents below 60.
02. SEX: [ ]
(1) Female ; (2) Spinster ; (3) Male ; (4) Widow / Widower / Divorcee
03. AGE:[ ]
(0) 1-12(Childhood) (1) 21-34(Getting Established) (2) 42-64(Time Of Maturity) (3) 13-20(The Trying Teens); 34-42(The Middle Crisis) (4) 65 and Over(Senior Citizen)
Group II : FACTORS PARTIALLY WITHIN CONTROL OF INDIVIDUAL
01. PERSONALITY TYPES: [ ]
(0) Relaxed Life Style; (1) Negativistic; (2) Passive Dependant, Non-Competitive; (3) Obsessive Compulsive; (4) Aggressive.
02. STRESS RELATED DISEASES(HYPERTENSION, PEPTIC ULCER, CORONARY HEART DISEASE, BRAIN STROKE): [ ]
(0) You and Your Parents have/ had non of these. (1) You had none, Parent(s) had one.
(2) You and Parent(s) had at least one. (3) You had one, Parent(s) had two or more.
(4) You had at least two; Parent(s) had two or more.
03. MISHAPS OR ACCIDENTS: [ ]
(0) None in the past ten years. (1) One. (2) Two. (3) Three or Four. (4). Five or more(Accident prone)
04. BODY WEIGHT: [ ]
(0) 1-3 Kg below standard weight/height;(1) +or - 3-4 Kg from standard; (2) 4-7 Kg above standard
(3) 7-13 Kg above and 4-10 Kg below standard; (4) 15 Kg or more above standard.
05.RELIGIOUS ATTITUDE: [ ]
(0) Devout, Belief in personal God or Fate ;(1) Regularly attends service; (2) Does not give much attention to religion; (3) Does not believe in religion; gives too much importance to religion; (4) Fanatic Belief, Does not believe in God.
06. LIFE CHANGE EVENTS: [ ]
(0) None within last one year ; (1) One moderate within last year(Change in Residence); (2) Two Moderate events; (3) One Severe(Death of a beloved), 3 or more moderate ;(4) Two or more "Severe"
07. FINANCIAL STATUS : [ ]
(0) Upper (Monthly income above Dh.5000); (1) Upper Middle(4000 - 5000); (2) Middle (3000-4000);
(3) Lower Middle(2000-3000); (4) Lower(Below 2000); (5) Expense higher than income!
08. OCCUPATION: [ ]
(0) Independently Wealthy,Free to engage in diversions; (1) Scientists, Actor, Entertainer, Artist, Model; (3) Teacher, Athlete, Writer, White Collar Worker, Salesman; (3) Lawyer, Business executive, Blue Collar Worker; (4) Doctor,Accountant,Policeman,Fireman,
Pilot,Gambler,Criminal,Unemployed.
09.LOCATION: [ ]
(0) Business and Residence-Rural, Student; (1) Suburbs; (2) Business City, Home Rural; (3) Business and home small city; (4) Both in large city.
10.MARITAL STATUS : [ ]
(0) Happily Married, Single(Below 20); (1) Happily Married-Second Marriage; (2) Tolerable Marriage; (3) Single, Divorced, Widowed
(4) Twice Divorced and/or Widowed.
11. CHRONIC STRESSORS(ANXIETY, WORRY, FRUSTRATION, NOISE) : [ ]
(0) None so far is known; (1) Occasional, slight to moderate; (2) Occasional, Severe; (3) Regular Slight To Moderate; (4) Regular, Severe.
Group III: FACTORS WITHIN THE CONTROL OF INDIVIDUAL
01.ALCOHOL CONSUMPTION:[ ]
(0) None, Occasional; (1) 60 ml per day; (2) One cocktail or 3 x 60 ml per day; (3) One Half Bottle Of Whisky daily;
(4) Alcoholic.
02.COFFEE AND OTHERS:[ ]
(0) None at all; (1) Occasional tea or cocoa; (2) 1-3 cups; (3) 4-5 cups; (4) 6 or more cups.
03.DRUGS:[ ]
(0) None at any time; (1) An occasional pill; (2) Couple of times a week; (3) Several Times a week; (4) Daily-Hooked!
04.SMOKING:[ ]
(0) None at all; (1) On rare occasions; (2) Less than a pack daily,Regular Pipe or Cigar;(3)Upto two packs;(4)Over two packs.
05.EATING:[ ]
( 0) Low Fat, Sugar, Salt: No Snacks, Balanced Diet; (1) A little fat, Low Sugar, Low salt, No snacks, Balanced Diet(2)Moderate fat, Moderate sugar, low salt, moderate snacks and Balanced Diet; (3) Moderate fat,Sugar & Salt, High snacks, unbalanced diet; (4) High fat, Sugar, Salt, Heavy snacks and unbalanced diet.
06.COMPANIONSHIP:[ ]
(0) Many friends and acquaintances; (1) Many acquaintances, a few friends; (2)A few acquaintances and friends; (3) A few acquaintances, no friends; (4) A loner, no friends and acquaintances.
07.COMMUNICATIONS:[ ]
(0) Regularly with family and friends; (1) A few times a week only; (2)On occasion, perhaps with a crisis; (3) Rarely;(4) Never
08.SLEEP :[ ]
(0) 8 Hours per night, no problems; (1)7 hours; (2) 6 Hours, 9 Hours;(3) Over 9 including naps; (4) Less than 6 hours daily.
09.RELAXATION RESPONSE:[ ]
(0) Twice daily; (1) Once daily; (2) Once every other day; (3) Once every week; (4) Never, or more than three hours each day.
10.DIVERSIONS:[ ]
(0) Daily, Regular; Periodic Vacations;(1) Daily, Regular Diversions; Occasional vacations;(2)Occasional Diversions; Rare Vacations;(3) Rare Diversions; No Vacations;(4) No Diversions or Vacations!
11.EXERCISES: [ ]
(0) Regular Exercises and Games; (1) Regular Exercises; No Games; (2) Occasional Exercises or Games; (3) Rare Exercises and Games;(4) No Exercises and Games.
12.POSITIVE PSYCHOLOGICAL COPING(eg,Reasonable Goals, Effective Action, Positive Attitude) : [ ]
(0) Regularly act constructively and effectively; (1) Usually cope well; (2) Occasionally cope well(3) Rarely Cope Well; Never seems to be able to cope well
13.CHEWING PAN, TOBACCO,BETEL ETC: [ ]
(0) Never; (1) Occasional; (2) Regular; (3) After Each Meals; (4) Keeps in Mouth for a long time.
INTERPRETATION
If your Score is average/poor/bad, you should seriously think of changing your life style. While you cannot do anything about factors which fall in group I, you can certainly do something about group II & III.