You are here: Balance Your Success »

December, 2017

Stress Survey

Stress Survey

 

1)   I tend to overwork and do most things myself

Yes—–No——-

2) I have difficulty falling or staying asleep

Yes——No——

3) My nutrition is generally poor to fair

Yes——No—–

1)   Have you experienced the death of a spouse in the last six months?

Yes———No——-

5) Have you experienced the death of a close friend in the last six months?

Yes——N0—–

6) Have you been divorced or seeking divorce in the last six months?

Yes———-No——–

7) Do you have a son or daughter who is experiencing serious emotional difficulties in the last year?

Yes———-No———

8) Has your health deteriorated significantly in the last year?

Yes———-No——–

9) Have you had difficulties in the sexual arena in the last year?

Yes——-No——–

10) Have you or your significant other lost your job in the last year?

Yes———–No——–

 

11) Do you or your significant other have trouble with a boss?

Yes——No—–

12) Do you often feel guilty for reasons you know are irrational?

Yes——–No———–

13) Do you frequently feel impatient when you have to wait at the supermarket, other stores?

Yes———-No———

14) Have you been fighting more often with your partner?

Yes———No——–

15) Do you feel like you are racing through each day, seldom able to slow down?

Yes———No

16) Do you have few supportive relationships?

Yes——–No——–

17) Do you tend to make more of the normal stressors in life than others you know?

Yes————-No——–

18) Do you wake each day feeling like you won’t be able to cope effectively?

Yes————-No——–

19) Do you have few calm moments during the day?

Yes———-No———

20) Do you often think you have little time for exercise, relaxation, letting go?

Yes———No———

 
1312)

Scores of 1-6 Low Stress

 

Scores of 7-12 Moderate Stress

 

Scores of 13-17 Significant Stress

 

Scores of 18+ Extreme Stress

 

Your Score is ———————

Taken from then book The Stress Solution: Using Empathy and Cognitive Behavioral Therapy to Reduce Anxiety and Develop Resilience

 

 

 

 

 

The Empathy Quotient

Empathy Quotient

 

Please answer yes or no to the following questions and compare your answers to the first time you took this questionnaire. Please be as honest as possible.

 

1)    I have been told that I lack empathy by more than one person

2)    I have been told that I am empathic by more than one person

3)    I feel good when I help another person

4)    I don’t feel much when I help another person

5)    I feel obligated to do the right thing

6)    I enjoy giving of my time to others

7)    I am uncomfortable when people talk about emotional issues

8)    I am not uncomfortable when people talk about emotional issues

9)    I don’t know what it means to express empathy

10)I understand what it means to express empathy

11)I often feel that I miss emotional cues

12)I pick up emotional cues easily

13)I have been told that I need to be right

14)I don’t place much value on the need to be right

15)I seldom talk beyond the surface with friends

16)My friends and I have deep conversations

17)I prefer to not be around young children

18)I love being around young children

19)I think I tend to take more than I give

20)I think I tend to give more than I take

21)I fine it easier to show animals affection rather than people

22)I can give affection to animals and people equally

23)I have often been called stubborn

24)I am often told that I am easy to get along with

25)I prefer to talk more than listen

26)I prefer to listen more than talk

27)In most of my conversations I talk more than I listen

28)In most of my conversations I listen more than I talk

29)I am uncomfortable getting close to people

30)I feel comfortable being close to people

Scoring

Give yourself one point for saying “yes” to any of the following questions-#2,3,6,8,10,12,14,16,18,20,22,24,26,28 and 30.

Take away one point for saying “yes” to any of the following questions-#1,5,7,9,11,13,15,17,19,21,23,25, and 29.

Total Number-

Very Empathic-13-15

Mildly Empathic-10-12

Taken from  the book The Stress Solution: Using Empathy and Cognitive Behavioral Therapy to Reduce Anxiety and Develop Resilience

Empathy Quotient

Empathy Quotient

 

Please answer yes or no to the following questions and compare your answers to the first time you took this questionnaire. Please be as honest as possible.

 

1)    I have been told that I lack empathy by more than one person

2)    I have been told that I am empathic by more than one person

3)    I feel good when I help another person

4)    I don’t feel much when I help another person

5)    I feel obligated to do the right thing

6)    I enjoy giving of my time to others

7)    I am uncomfortable when people talk about emotional issues

8)    I am not uncomfortable when people talk about emotional issues

9)    I don’t know what it means to express empathy

10)I understand what it means to express empathy

11)I often feel that I miss emotional cues

12)I pick up emotional cues easily

13)I have been told that I need to be right

14)I don’t place much value on the need to be right

15)I seldom talk beyond the surface with friends

16)My friends and I have deep conversations

17)I prefer to not be around young children

18)I love being around young children

19)I think I tend to take more than I give

20)I think I tend to give more than I take

21)I fine it easier to show animals affection rather than people

22)I can give affection to animals and people equally

23)I have often been called stubborn

24)I am often told that I am easy to get along with

25)I prefer to talk more than listen

26)I prefer to listen more than talk

27)In most of my conversations I talk more than I listen

28)In most of my conversations I listen more than I talk

29)I am uncomfortable getting close to people

30)I feel comfortable being close to people

Scoring

Give yourself one point for saying “yes” to any of the following questions-#2,3,6,8,10,12,14,16,18,20,22,24,26,28 and 30.

Take away one point for saying “yes” to any of the following questions-#1,5,7,9,11,13,15,17,19,21,23,25, and 29.

Total Number-

Very Empathic-13-15

Mildly Empathic-10-12

Taken from the book, The  Stress  Solution: Using Empathy and Cognitive Behavioral Therapy to Reduce Anxiety and Develop Resilience

Get Adobe Flash playerPlugin by wpburn.com wordpress themes