Stress Management Questionnaire
1. Do you have the time you need to do work without interruption?
2. Do you have the time you want with your family each week?
3. Do you have the personal time you would like each day?
4. When you are interrupted at an activity, do you respond with anger?
5. When you are asked to do something unplanned, do you respond angrily?
6. When you are given an unexpectedly large project, do you get tense?
7. Do you respond in a positive manner when asked to do something for which you lack training?
8. Do you accept with a healthy attitude circumstances that cannot change?
9. Do you proactively respond with positive power to stressors?
10. Do you plan your life each day, and work out that plan
How frequently do you (Circle the Number)...
1-very rarely
2-very frequently
1.Become impatient when performing repetitious acts (e.g., filling out bank deposit slips, writing checks, washing dishes, etc.)? 1 2 3 4 5
2. Dwell on the incompetencies of others who stand in the way of your progress? 1 2 3 4 5
3. Notice that you have a fast pulse? 1 2 3 4 5
4. Not accomplish what you set out to do? 1 2 3 4 5
5. Have asthma or hay fever flare-ups? 1 2 3 4 5
6. Insist upon no mistakes from your subordinates or those around you? 1 2 3 4 5
7. Rarely take time to do something that you really enjoy? 1 2 3 4 5
8. Have indigestion? 1 2 3 4 5
9. Feel impatient at the rate at which events take place? 1 2 3 4 5
10. Feel sad? 1 2 3 4 5
11. Take quick, short, or no breaks during the day? 1 2 3 4 5
12. Have shortness of breath? 1 2 3 4 5
13. Think about getting out of your job or life situation? 1 2 3 4 5
14. Have headaches? 1 2 3 4 5
15. Take more time than usual to do things? 1 2 3 4 5
16. Have constipation/diarrhea? 1 2 3 4 5
17. Become irritated with the mistakes of others? 1 2 3 4 5
18. In a competitive situation tend to become upset or angry if you are not the best? 1 2 3 4 5
19. Avoid tasks and responsibilities? 1 2 3 4 5
20. Think that what you do is rather
2. Do you have the time you want with your family each week?
3. Do you have the personal time you would like each day?
4. When you are interrupted at an activity, do you respond with anger?
5. When you are asked to do something unplanned, do you respond angrily?
6. When you are given an unexpectedly large project, do you get tense?
7. Do you respond in a positive manner when asked to do something for which you lack training?
8. Do you accept with a healthy attitude circumstances that cannot change?
9. Do you proactively respond with positive power to stressors?
10. Do you plan your life each day, and work out that plan
How frequently do you (Circle the Number)...
1-very rarely
2-very frequently
1.Become impatient when performing repetitious acts (e.g., filling out bank deposit slips, writing checks, washing dishes, etc.)? 1 2 3 4 5
2. Dwell on the incompetencies of others who stand in the way of your progress? 1 2 3 4 5
3. Notice that you have a fast pulse? 1 2 3 4 5
4. Not accomplish what you set out to do? 1 2 3 4 5
5. Have asthma or hay fever flare-ups? 1 2 3 4 5
6. Insist upon no mistakes from your subordinates or those around you? 1 2 3 4 5
7. Rarely take time to do something that you really enjoy? 1 2 3 4 5
8. Have indigestion? 1 2 3 4 5
9. Feel impatient at the rate at which events take place? 1 2 3 4 5
10. Feel sad? 1 2 3 4 5
11. Take quick, short, or no breaks during the day? 1 2 3 4 5
12. Have shortness of breath? 1 2 3 4 5
13. Think about getting out of your job or life situation? 1 2 3 4 5
14. Have headaches? 1 2 3 4 5
15. Take more time than usual to do things? 1 2 3 4 5
16. Have constipation/diarrhea? 1 2 3 4 5
17. Become irritated with the mistakes of others? 1 2 3 4 5
18. In a competitive situation tend to become upset or angry if you are not the best? 1 2 3 4 5
19. Avoid tasks and responsibilities? 1 2 3 4 5
20. Think that what you do is rather