Daily Stress Questionnaire

June 27, 2011

Daily stress includes stress related to work, relationship, health, society, and other uncontrollable things. Daily stress can lead to fatal ailments like heart ailments, blood pressure, or other diseases. Stress maintained at minimum levels can be helpful to organize and plan the life in a better manner. But if stress crosses the minimum limit, then it needs to be contained. Daily stress questionnaires help to capture such ailments at an early stage and take corrective actions.
Daily Stress Questionnaire Sample:
Name:                       ____________________
Address:            ____________________
Phone Number:   ____________________
Email id:            ____________________
Q1. Your life is ordered and peaceful
a)   Yes
b)   No
Q2. You maintain a good work-life balance
a)   Never
b)   More often than not
c)   Always
Q3. You are proud of what you’ve achieved in your life so far
a)   Yes
b)   No
Q4. You suffer sleeping problems
a)   Mostly
b)   Never
c)   Always
d)   Sometimes
Q5. You lead a healthy lifestyle
a)   Yes
b)   No
Q6. How often do you attend social events?
a)   1 – 2 times a month
b)   2 – 5 times a month
c)   More than 5 times a month
d)   Never
Q7. You exercise control over things that affect you
a)   Yes
b)   No
Q8. How many times do you exercise or do yoga or meditation?
a)   Daily
b)   Alternate days
c)   One in a week
d)   Never
Q9. Are you addicted to any of the following substances?
a)   Smoking
b)   Drinking
c)   Drugs
d)   None
Q10. Are you upset about any problem with family or work currently?
a)   Yes
b)   No
Q11. Does your work interest you?
a)   Yes always
b)   Never
c)   Less frequently
d)   Mostly

Download Daily Stress Questionnaire in Word Format

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