Has the past year affected your future health? 06/05/2015 | No Comments Welcome to your how has the past year stressed you? 1. Over the last 12 months have you had a son or daughter leave home? Yes No 2. In the last 12 months have you experienced a change in number of family get-togethers? Yes No 3. Have you experienced any troubles with the in-laws in the last 12 months? Yes No 4. During the past 12 months did you get sacked or made redundant from your job? Yes No 5. Have you encountered trouble with your boss in the last 12 months? Yes No 6. Have you experienced any change in work hours or conditions in the past 12 months? Yes No 7. Have you taken on a moderate loan or mortgage over the past 12 months? Yes No 8. In the last 12 months have you experienced an outstanding personal achievement? Yes No 9. Have you (or your partner) become pregnant in the past 12 months? Yes No 10. Have you experienced a change in number of arguments with your partner/spouse over the last 12 months? Yes No 11. Have you experienced any sexual difficulties over the past 12 months? Yes No 12. Did you have a marital reconciliation during the past 12 months? Yes No 13. Have you encountered any change in residence over the last 12 months? Yes No 14. Did you get married during the past 12 months? Yes No 15. Have you had any changes in school/college in the last 12 months? Yes No 16. In the past 12 months have you experienced any changes in living conditions? Yes No 17. Have you experienced any revision of personal habits in the last 12 months? Yes No 18. Have you had any changes to financial situation over the last 12 months? Yes No 19. In the last 12 months have you committed any minor violations of the law? Yes No 20. Are you/have you been dealing with a large mortgage or loan over the last 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 a change in eating habits over the last 12 months? Yes No 23. In the past year have you suffered the death of a close family member? Yes No 24. In the last 12 months have you began or ended school/college? Yes No 25. In the past year have you suffered from serious personal injury or illness? Yes No 26. Have you experienced the death of a close friend in the last 12 months? Yes No 27. Have you changed to a different line of work in the past 12 months? Yes No 28. In the past year have you suffered the death of a spouse? Yes No 29. Have you had a lack of holidays over the last 12 months? Yes No 30. in the last 12 months have you experienced a stressful Christmas? Yes No 31. In the past 12 months have you experienced any changes in responsibilities at work? Yes No 32. In the past year have you had a marital seperation yes no 33. In the past year have you been to prison? yes No 34. Have you gained a new family member over the last 12 months? Yes No 35. In the past 12 months has your spouse began or stops work? Yes No 36. Are you/have you been dealing with the foreclosure of a mortgage or a loan in the past 12 months? Yes No 37. Have you had any changes in sleeping habits over the last 12 months? Yes No 38. In the past 12 months has there been a business readjustment? Yes No 39. Have you experienced any changes in recreation over the last 12 months? Yes No 40. Have you experienced any changes in social activities over the past 12 months? Yes No Please fill in the comment box below. Be sure to click Submit Quiz to see your results! Name Email Phone Number Time's up
