Stress Sources Input Form

Fill out the form below and hit the button to get your results.

Sources - Stage of Life

As we progress through life each stage is accompanied by its own unique stress sources. Indicate your stage by entering the number corresponding to the appropriate response.

Age
 Under 18    18-25    25-45    45-65    over 65
Living arrangements
 Alone    Family    Non-family group housing (dorm, apartment, etc.)
Sex
 Male    Female
Occupation
 Work in the home    Work outside the home    Unemployed
Student
 College student    Not a college student

Family

Indicate the word that describes the amount of distress each event currently causes you.
Death of a close family member.
Major disagreements within family.
Improvement or worsening in family member's health.
Divorce or remarriage of parents.
Alcoholism or drug problems in family.
Holidays, family reunion, family vacation.
Increase or decrease in number of family get-togethers.
Pregnancy in family and/or gain of a new family member.
Moving away from home.
Significant increase or decrease in family income.
 

Social

Indicate the word that describes the amount of distress each event currently causes you.
Marriage or starting significant relationship(s).
Marriage difficulties, divorce or ending old relationship(s).
Death of a close friend.
Increase or decrease in social activities.
Arguments with your roommate(s) or close friend(s).
Leading a group or identification as a group leader.
Feeling excluded from a group.
Increase or decrease in the amount of human touch.
Feeling you are the victim of ethnic, racial, religious or sexual prejudice.
Conflicting interests between socializing, college and/or work.
 

Individual

Indicate the word that describes the amount of distress each event currently causes you.
Jail term; involved in lawsuit or other court procedure, minor violation of the law.
Pregnancy (to you or caused by you).
Improvement or worsening in your state of health.
Significant increase or decrease in personal finances.
Sexual difficulties.
Change in personal habits (smoking, bedtime, mealtime, exercise, recreation, etc.)
Problems with weight and/or feeling unattractive.
Problems with drugs or alcohol dependence.
Failure to meet personal goals or obligations.
Vacation and/or travel.
 

Environment

Indicate the word that describes the amount of distress each event currently causes you.
Increase or decrease in quality of living conditions.
Moving within the same city or town.
Moving to a different state or city.
Noisy or unfriendly roommate(s) and/or neighbors.
Problems with traffic.
Increase or decrease in daily level of background noise.
Increase or decrease in amount of personal space.
Increase or decrease in amount of available light.
Increase or decrease in air quality (pollution).
Increase or decrease in water quality.
 

Work

Indicate the word that describes the amount of distress each event currently causes you.
Ending an old job and/or beginning a new job.
Problems with a boss and/or co-workers.
Fired or laid-off job.
Expectations of continued success after outstanding personal achievement.
Increase or decrease in work hours or conditions.
Increase or decrease in responsibilities.
Feeling overqualified or underqualified for the work you actually do.
Feeling pressured to do well and/or meeting deadlines.
Feeling bored with work.
Little opportunity for advancement.
 

College

If you are not a student, do not fill out this section. Indicate the word that describes the amount of distress each event currently causes you.
Final or first year of college.
Transfer to different college.
Diminished personal attention from faculty.
Examinations and/or major assignments.
Failure in some course.
Probation, expelled or quit college.
Change major or difficulties with career decision.
Feel pressured to do well.
Increase or decrease in amount of available free time.
Feelings of boredom, lack of direction and/or uncertain about your future.