Staff Stress and Coping Test
How have you been feeling in general?
5 - In an excellent frame of mind
4 - In a very good mood
3 - In a good mood mostly
2 - My mood has been up and down
1 - In a poor frame of mind mostly
0 - In a very poor frame of mind
Have you been bothered by nervousness?
5 - Not at all
4 - A little
3 - Some, enough to bother me
2 - Yes, quite a bit
1 - Yes, very much so
0 - Extremely so, to the point that I can't take care of things
Have you been in control of your thoughts, behaviors, emotions, and feelings?
5 - Yes, definitely so
4 - Yes, for the most part
3 - Generally so
2 - Not too well
1 - No, and I am somewhat troubled by that
0 - No, and I am very troubled by that
Have you had recent feelings of sadness or hopelessness?
5 - Not at all
4 - A little
3 - Some, enough to bother me
2 - Yes, quite a bit
1 - Yes, very much so
0 - Extremely so
Do you feel you have been under a lot of stress or pressure?
5 - Not at all
4 - A little
3 - About the same amount as usual
2 - Yes, more than usual
1 - Yes, quite a bit of stress
0 - Yes, almost more than I can handle
How satisfied have you been with your personal life?
5 - Extremely happy
4 - Very happy
3 - Fairly happy
2 - Somewhat satisfied
1 - Somewhat dissatisfied
0 - Very dissatisfied
Have you had any reason to believe that you were losing control over the way you think, act, or feel?
5 - Not at all
4 - Only a little
3 - Some, but not enough to be concerned
2 - Some, and I have been a little concerned
1 - Some, and I am quite concerned
0 - Yes, a lot, and I am very concerned
Have you been anxious, worried, or upset?
5 - Not at all
4 - A little
3 - Some, enough to bother me
2 - Yes, quite a bit
1 - Yes, very much so
0 - Yes, extremely so, to the point of feeling sick
How often do you wake up feeling rested and refreshed?
5 - Every day
4 - Almost every day
3 - Fairly often
2 - Less than half the time
1 - Rarely
0 - Never
Have you been bothered by illness, pain, or fear of your health?
5 - Not at all
4 - A little
3 - Some of the time
2 - Yes, a good bit of the time
1 - Yes, most of the time
0 - Yes, all of the time
Has your daily life been full of things that are interesting to you?
5 - Yes, all of the time
4 - Yes, most of the time
3 - Yes, a good bit of the time
2 - Some of the time
1 - A little
0 - Not at all
Have you been feeling down-hearted or blue?
5 - Not at all
4 - A little
3 - Some of the time
2 - Yes, a good bit of the time
1 - Yes, most of the time
0 - Yes, all of the time
Have you been feeling emotionally stable and sure of yourself?
5 - Yes, all of the time
4 - Yes, most of the time
3 - Yes, a good bit of the time
2 - Some of the time
1 - A little
0 - Not at all
Have you been feeling tired, worn out, or exhausted?
5 - Not at all
4 - A little
3 - Some of the time
2 - Yes, a good bit of the time
1 - Yes, most of the time
0 - Yes, all of the time
How concerned or worried have you been about your health?
10 - Not concerned at all
9
8
7
6
5
4
3
2
1
0 - Very concerned
How relaxed or tense have you been?
10 - Very relaxed
9
8
7
6
5
4
3
2
1
0 - Very tense
How much energy or pep do you feel you have had?
10 - Very energetic, dynamic
9
8
7
6
5
4
3
2
1
0 - No energy at all, no motivation
How depressed or cheerful have you been?
10 - Very cheerful
9
8
7
6
5
4
3
2
1
0 - Very depressed
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