Self Assessment

Please fill the information below:

Organization name:

You are maximizing the use of your healthcare plan (aka falling sick often)

Yes

No

Through trial and error, you have prioritised from best to worse the toilet bowls in office (aka indigestion)

Yes

No

You have started noticing that your partner snores or your bedroom fan makes noise (aka insomnia)

Yes

No

You need to flip a coin to figure out you have a headache (aka constant headache)

Yes

No

You need to run through your 11 step motivation plan to do a simple task (aka easy tasks also feel difficult)

Yes

No

You have lost interest in M18/R21 movies or have stopped using the Incognito mode in your browser (aka loss of sexual desire)

Yes

No

Your undiscovered weight change formula will make you a millionaire (aka change in appetite/ weight)

Yes

No

The old neighbour, you made fun as as a child, is taking revenge (aka aches/pains)

Yes

No

You feel you are falling in love again (aka chest pain/ rapid heart beat)

Yes

No

Baby’s soft food does not seem so bad to eat now (aka pain in tooth/jaw)

Yes

No

You have started noticing other people with less hair (aka hair loss)

Yes

No

Your period is not behaving like a period (aka irregular)

Yes

No

Not Applicable

If you answered "Yes" to 2 questions or less, you are showing some Physical signs of Stress - get help if concerned.

If you answered "Yes" to 3 questions or more, you are showing many Physical Signs of Stress - please get help!

What is your score?

I will be interested in a workshop to learn more about managing stress and living a happier life!

Yes

No

Were the above questions fun and easy to answer? Any suggestions to improve the questionnaire?