#1 WISH – Stress
How much “stress” do you feel you experience on an average each day? (check one)
- a) Very little to none ___
- b) Sometimes I feel stressed ___
- c) I feel stress effects my life every day ___
- d) I feel over whelmed by stress every day ___
How would you define “stress”? (check all that apply)
- a) Your life is totally out of your control ___
- b) You have too many things to do & not enough time to do everything ___
- c) You feel others are putting too much pressure on you? ___
- d) You feel life has become too complicated and challenging ___
Do you have any of the following stress related symptoms? (check all that apply)
- a) Difficulty sleeping ___
- b) Mood swings ___
- c) Stomach problems ___
- d) Forgetfulness ___
- e) Irritability ___
- f) Low energy ___
- g) Headaches/migraines ___
Have you tried any of the following therapies for stress reduction? (check all that apply)
- a) Yoga ___
- b) Individual Therapy ___
- c) Daily Exercise or activities ___
- d) Mindfulness programs ___
- e) Acupuncture ___
- f) Meditation ___
- g) Nutrition ___
What would you do first to help control your stress? (check one)
- a) Nothing, my stress is too great to control ___
- b) Change my attitude & be more positive ___
- c) Find a professional to help me evaluate ___
What are the first, more simple things I can do to help reduce my stress
- d) Talk to my doctor about my level of stress and find out what he or she recommends ___
- e) Choose an activity that I feel would help my stress (i.e.: yoga, meditation, exercise, therapy, etc.) and start doing it ___
- f) Set better boundaries or learn how to Set better boundaries ___
How much do you feel your health causes you stress? (check one)
- a) Very little ___
- b) A little bit ___
- c) A lot ___
- d) It is the only reason I am stressed ___
