Your information is collected so I can contact you about managing your stress level. I will never share your information with anyone.
Your Stress Levels
Please note: this scale is not a clinical diagnostic instrument and is provided for educational purposes. It merely identifies some of the more common symptoms of stress. If you have any concern about your state of emotional health, you can contact me, Cynthia Lackner or another health care professional.
- Instructions: in the last month, how often has the following been true for you?
Select the number that fits your reality under each question
0 | Never 1 | Seldom 2 | Sometimes 3 | Often 4 | Always
(e.g. falling asleep, trouble staying asleep, trouble waking up. nightmares, etc.)
(e.g., nausea, vomiting, diarrhea, constipation, gas)