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Home Quiz Has the past year affected your future health?

Has the past year affected your future health?

Chris Fleet (Dip.Hyp. Adv D. hyp, SQHP) 06/05/2015 20/04/2020

Welcome to your how has the past year stressed you?

1. Have you experienced any changes in social activities over the past 12 months?

Yes

No

2. Have you experienced any sexual difficulties over the past 12 months?

Yes

No

3. Have you experienced any change in work hours or conditions in the past 12 months?

Yes

No

4. in the last 12 months have you experienced a stressful Christmas?

Yes

No

5. In the past 12 months has there been a business readjustment?

Yes

No

6. In the past year have you suffered from serious personal injury or illness?

Yes

No

7. In the past year have you been to prison?

yes

No

8. In the past year have you had a marital seperation

yes

no

9. Are you/have you been dealing with the foreclosure of a mortgage or a loan in the past 12 months?

Yes

No

10. In the past 12 months have you experienced any changes in responsibilities at work?

Yes

No

11. Have you experienced any troubles with the in-laws in the last 12 months?

Yes

No

12. Have you experienced a change in number of arguments with your partner/spouse over the last 12 months?

Yes

No

13. Have you changed to a different line of work in the past 12 months?

Yes

No

14. During the past 12 months did you get sacked or made redundant from your job?

Yes

No

15. In the past year have you suffered the death of a close family member?

Yes

No

16. Did you have¬†a marital reconciliation during the past 12 months?

Yes

No

17. Have you had any changes in sleeping habits over the last 12 months?

Yes

No

18. In the last 12 months have you began or ended school/college?

Yes

No

19. In the last 12 months have you experienced a change in number of family get-togethers?

Yes

No

20. Have you taken on¬†a moderate loan or mortgage over the past 12 months?

Yes

No

21. Have you encountered any changes in religious/spiritual beliefs over the last 12 months?

Yes

No

22. Have you encountered trouble with your boss in the last 12 months?

Yes

No

23. Have you experienced any revision of personal habits in the last 12 months?

Yes

No

24. Have you had a lack of holidays over the last 12 months?

Yes

No

25. Have you encountered any change in residence over the last 12 months?

Yes

No

26. Over the last 12 months have you had a son or daughter leave home?

Yes

No

27. Are you/have you been dealing with a large mortgage or loan over the last 12 months?

Yes

No

28. Have you gained a new family member over the last 12 months?

Yes

No

29. In the past 12 months has your spouse began or stops work?

Yes

No

30. In the past 12 months have you experienced any changes in living conditions?

Yes

No

31. In the last 12 months have you experienced an outstanding personal achievement?

Yes

No

32. Did you get married during the past 12 months?

Yes

No

33. Have you experienced the death of a close friend in the last 12 months?

Yes

No

34. Have you (or your partner) become pregnant in the past 12 months?

Yes

No

35. Have you had any changes to financial situation over the last 12 months?

Yes

No

36. Have you experienced any changes in recreation over the last 12 months?

Yes

No

37. In the last 12 months have you committed any¬†minor violations of the law?

Yes

No

38. Have you had any changes in school/college in the last 12 months?

Yes

No

39. In the past year have you suffered the death of a spouse?

Yes

No

40. Have you encountered a change in eating habits over the last 12 months?

Yes

No

Please fill in the comment box below.

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