On a scale from 1–10 (with 1 being the least/rarely/never/low and 10 being the extreme/very often/all the time/high), rate yourself for the following:
How stressed are you by everyday events?
1 2 3 4 5 6 7 8 9 10
How often do you feel overwhelmed in a day – either physically, emotionally or mentally?
1 2 3 4 5 6 7 8 9 10
How often do you feel overwhelmed in a week – either physically, emotionally or mentally?
1 2 3 4 5 6 7 8 9 10
How balanced do you feel your life is at the moment?
1 2 3 4 5 6 7 8 9 10
How would you rate your physical health?
1 2 3 4 5 6 7 8 9 10
How would you rate your mental health?
1 2 3 4 5 6 7 8 9 10
How would you rate your coping skills during events that stress you?
1 2 3 4 5 6 7 8 9 10
How happy are you with life at the moment?
1 2 3 4 5 6 7 8 9 10