CLICK HERE TO RETURN TO MIND BODY SPIRIT
My Monthly Stress
Self Assessment
To be completed monthly
- the same day/date each month,
then compare THIS month’s total with your PREVIOUS month’s total
Score
your answers: Never 0 Occasionally 1 Often 2 Almost daily 3
1. Inability
to concentrate 1. Headaches ------------------------------------------------------------- ---------------------------------------------------------------------- 2. Difficulty making simple decisions 2. Difficulty in sleeping ------------------------------------------------------------- ---------------------------------------------------------------------- 3. Absent-mindedness 3. Fatigue without exertion ------------------------------------------------------------- ---------------------------------------------------------------------- 4. Loss
of self confidence 4. Loss of appetite
------------------------------------------------------------- ---------------------------------------------------------------------- 5. Irritability
with others 5. Overeating binges ------------------------------------------------------------- ---------------------------------------------------------------------- 6. Loss
of interest in life 6. Indigestion/heartburn ------------------------------------------------------------- ---------------------------------------------------------------------- 7. Extreme
mood swings 7. Constipation or diarrhoea ------------------------------------------------------------- ---------------------------------------------------------------------- 8. Feelings
of failure & inferiority 8. Nausea ------------------------------------------------------------- ---------------------------------------------------------------------- 9. Uncalled-for
aggression 9. High blood pressure ------------------------------------------------------------- ---------------------------------------------------------------------- 10. Anxiety about imaginary misfortunes 10. Colds
or flu ------------------------------------------------------------- ---------------------------------------------------------------------- 11. Irrational
fears or panics 11. Skin rashes ------------------------------------------------------------- ---------------------------------------------------------------------- 12. Feeling helpless & unable to cope 12. Aching neck/shoulder muscles ------------------------------------------------------------- ---------------------------------------------------------------------- TOTAL 13. Cramps and muscle spasms ---------------------------------------------------------------------- 14. Heart palpitations ---------------------------------------------------------------------- 15. Rapid breathing/breathlessness without exertion ---------------------------------------------------------------------- 16. Fainting spells ---------------------------------------------------------------------- 17. Sexual impotency/frigidity ---------------------------------------------------------------------- 18. Fidgety/nervous mannerisms ---------------------------------------------------------------------- 19. Sweating without reason ---------------------------------------------------------------------- 20. Minor accidents ---------------------------------------------------------------------- TOTAL Add up your scores for this month’s stress
rating: 0 - 24
low 25 – 48 med 49 - 72 high 73 - 96 very high
MY JOINT TOTAL (both columns added together) = If it’s 49+ WHAT
ARE YOU GOING TO DO ABOUT IT?? Should you wish to use any of the techniques or
procedures described on these pages,
you accept full responsibility for your own emotional,
psychological, mental, physical and spiritual wellbeing and health. © Christina Elvin
Consultancy, tel: +44(0)1604 768343
fax: +44(0)1604 706609 mob:
07799 390022 email: christina@emofree.biz www.emofree.biz www.create-the-reality.com www.C2T2.co.uk If any of this information is used by you,
please acknowledge the source – thank you CLICK HERE TO RETURN TO MIND BODY SPIRIT