Has the past year affected your future health? 06/05/2015 | No Comments Welcome to your how has the past year stressed you? 1. In the past year have you suffered from serious personal injury or illness?YesNo2. In the last 12 months have you experienced a change in number of family get-togethers?YesNo3. Are you/have you been dealing with the foreclosure of a mortgage or a loan in the past 12 months?YesNo4. Have you had any changes to financial situation over the last 12 months?YesNo5. In the past 12 months have you experienced any changes in living conditions?YesNo6. Have you experienced any changes in social activities over the past 12 months?YesNo7. Have you experienced a change in number of arguments with your partner/spouse over the last 12 months?YesNo8. In the past 12 months has there been a business readjustment?YesNo9. Did you have a marital reconciliation during the past 12 months?YesNo10. In the last 12 months have you began or ended school/college?YesNo11. Did you get married during the past 12 months?YesNo12. Have you had any changes in sleeping habits over the last 12 months?YesNo13. Have you changed to a different line of work in the past 12 months?YesNo14. Have you encountered a change in eating habits over the last 12 months?YesNo15. In the past 12 months has your spouse began or stops work?YesNo16. During the past 12 months did you get sacked or made redundant from your job?YesNo17. Have you experienced any changes in recreation over the last 12 months?YesNo18. Have you encountered trouble with your boss in the last 12 months?YesNo19. Are you/have you been dealing with a large mortgage or loan over the last 12 months?YesNo20. Have you taken on a moderate loan or mortgage over the past 12 months?YesNo21. Over the last 12 months have you had a son or daughter leave home?YesNo22. Have you encountered any change in residence over the last 12 months?YesNo23. in the last 12 months have you experienced a stressful Christmas?YesNo24. In the last 12 months have you experienced an outstanding personal achievement?YesNo25. Have you gained a new family member over the last 12 months?YesNo26. In the past year have you suffered the death of a close family member?YesNo27. In the last 12 months have you committed any minor violations of the law?YesNo28. Have you encountered any changes in religious/spiritual beliefs over the last 12 months?YesNo29. In the past year have you been to prison?yesNo30. Have you (or your partner) become pregnant in the past 12 months?YesNo31. Have you experienced any revision of personal habits in the last 12 months?YesNo32. Have you had a lack of holidays over the last 12 months?YesNo33. Have you had any changes in school/college in the last 12 months?YesNo34. Have you experienced any troubles with the in-laws in the last 12 months?YesNo35. In the past year have you had a marital seperationyesno36. Have you experienced the death of a close friend in the last 12 months?YesNo37. Have you experienced any sexual difficulties over the past 12 months?YesNo38. In the past 12 months have you experienced any changes in responsibilities at work?YesNo39. Have you experienced any change in work hours or conditions in the past 12 months?YesNo40. In the past year have you suffered the death of a spouse?YesNoPlease fill in the comment box below. Be sure to click Submit Quiz to see your results! Name Email Phone Number Time is Up! Time's up
