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Stress Survey
Name:
*
Today's date:
*
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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How is your general health?
What are any health problems you have now?
How has your sleep been, and how is it now?
What have your dreams been like?
How often are you eating?
How nutritiously are you eating?
How well are you exercizing?
Have you had any recent weight changes?
Yes
No
Which direction and how much?
Any major stresses in the last 3 months?
Yes
No
What?
Any major stresses in the last year?
Yes
No
What?
How did the people you grew up with handle stress?
How do the people you live with now handle stress?
How do you handle stress?
|
Home
|
|
Services
|
|
About me
|
|
FAQ
|
|
Fees
|
|
Contact me
|
|
Directions
|
|
Forms
|
|
Skills
|
|
For Counselors
|
|
Fun Stuff
|
|
Sex Test
|
|
Cartoons 1
|
|
Cartoons 2
|
|
Cartoons 3
|
|
Cartoons 4
|
|
Cartoons 5
|
|
Cartoons 6
|
|
Cartoons 7
|
|
Cartoons 8
|
|
Marketing
|
|
Links
|
|
10 Bulls
|
|
Purpose of Life
|