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  • Stress Symptom Checklist: Physical Symptoms Psychological Symptoms

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    maria pia otarola
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    This document provides a checklist for individuals to assess physical and psychological symptoms of stress they have experienced in the last month. It contains a list of over 50 symptoms across both categories. Users check off all relevant symptoms and total their score, with higher numbers indicating more stress - a score of 0-7 is considered low stress, 8-14 is moderate, 15-21 is high, and 22+ is very high stress. The checklist is intended to help individuals evaluate their stress levels.

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    StressSymptomChecklist

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    This document provides a checklist for individuals to assess physical and psychological symptoms of stress they have experienced in the last month. It contains a list of over 50 symptoms across both categories. Users check off all relevant symptoms and total their score, with higher numbers indicating more stress - a score of 0-7 is considered low stress, 8-14 is moderate, 15-21 is high, and 22+ is very high stress. The checklist is intended to help individuals evaluate their stress levels.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    234 views1 page

    Stress Symptom Checklist: Physical Symptoms Psychological Symptoms

    Uploaded by

    maria pia otarola
    This document provides a checklist for individuals to assess physical and psychological symptoms of stress they have experienced in the last month. It contains a list of over 50 symptoms across both categories. Users check off all relevant symptoms and total their score, with higher numbers indicating more stress - a score of 0-7 is considered low stress, 8-14 is moderate, 15-21 is high, and 22+ is very high stress. The checklist is intended to help individuals evaluate their stress levels.

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    © All Rights Reserved
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    Stress Symptom Checklist

    Source: The Anxiety and Phobia Workbook by Edmund J. Bourne, Ph.D.


    Instructions: Check each item that describes a symptom you have experienced to any significant degree
    during the last month. Then, total the number of items checked.
    Physical Symptoms Psychological Symptoms
    □ Headaches [migraine or tension] □ Anxiety
    □ Backaches □ Depression
    □ Tight muscles □ Confusion or “spaciness”
    □ Neck and shoulder pain □ Irrational fears
    □ Jaw tension □ Compulsive behavior
    □ Muscle cramps, spasms □ Forgetfulness
    □ Nervous stomach □ Feeling “overloaded” or overwhelmed
    □ Other pain □ Hyperactivity; feeling you can’t slow down
    □ Nausea □ Mood swings
    □ Insomnia [sleeping poorly] □ Loneliness
    □ Fatigue, lack of energy □ Problems with relationships
    □ Cold hands and/or feet □ Dissatisfied/unhappy with work
    □ Tightness or pressure in the head □ Difficult concentrating
    □ High blood pressure □ Frequent irritability
    □ Diarrhea □ Restlessness
    □ Skin condition [e.g., rash] □ Frequent boredom
    □ Allergies □ Frequent worrying or obsessing
    □ Teeth grinding □ Frequent guilt
    □ Digestive upsets [cramps, bloating] □ Temper flare-ups
    □ Heart beats rapidly or pounds, even at rest □ Crying spells
    □ Stomach pain or ulcer □ Nightmares
    □ Constipation □ Apathy
    □ Hypoglycemia □ Sexual problems
    □ Appetite change
    □ Colds
    □ Profuse perspiration
    □ Overeating
    □ Weight change
    □ When nervous, use of alcohol, cigarettes, or recreational drugs
    Total Number of Items Checked: _____ Evaluate your stress level as follows:
    Number of Items Checked Stress Level
    0-7 Low
    8-14 Moderate
    15-21 High
    22+ Very High

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