Stress Test Questionnaire | Debra Billett -Life Transformation Coach

Stress, worry, anxiety: I feel stressed by my life circumstances, or I worry or am anxious about myself, those I care about or life itself. Absolutely! This is a serious or life issue for me, and it deeply upsets or worries or incapacitates me Yes. I frequently feel this way or relate to this issue, and it really bothers or upsets me Somewhat. I sometimes feel this way or relate to this issue, and it can bother me - 6 points for each A little. I occasionally feel this way or relate to this issue, but it doesn’t really bother me No. I never feel this way and cannot really relate to this issue

Negative emotional themes: I experience repeating negative emotions such as fear, anger, frustration, worthlessness, unlovability, loss, grief, humiliation, insignificance, etc., and I can’t seem to shake off the feeling. (If yes, name the emotion you experience most commonly.) Absolutely! This is a serious or life issue for me, and it deeply upsets or worries or incapacitates me Yes. I frequently feel this way or relate to this issue, and it really bothers or upsets me Somewhat. I sometimes feel this way or relate to this issue, and it can bother me A little. I occasionally feel this way or relate to this issue, but it doesn’t really bother me No. I never feel this way and cannot really relate to this issue

Depression, blues: I feel disconnected from life, emotionally shut down, as if life has no purpose or meaning, or is not really worth living. Absolutely! This is a serious or life issue for me, and it deeply upsets or worries or incapacitates me Yes. I frequently feel this way or relate to this issue, and it really bothers or upsets me Somewhat. I sometimes feel this way or relate to this issue, and it can bother me A little. I occasionally feel this way or relate to this issue, but it doesn’t really bother me No. I never feel this way and cannot really relate to this issue

Low energy: I experience low energy, tiredness, apathy, lack of enthusiasm, or pointlessness in life - like it’s all just too much effort. Absolutely! This is a serious or life issue for me, and it deeply upsets or worries or incapacitates me Yes. I frequently feel this way or relate to this issue, and it really bothers or upsets me Somewhat. I sometimes feel this way or relate to this issue, and it can bother me A little. I occasionally feel this way or relate to this issue, but it doesn’t really bother me No. I never feel this way and cannot really relate to this issue

Constant activity: I find it difficult or impossible to wind myself down or relax, or I have an overactive mind that keeps spinning, and it’s exhausting. Absolutely! This is a serious or life issue for me, and it deeply upsets or worries or incapacitates me Yes. I frequently feel this way or relate to this issue, and it really bothers or upsets me Somewhat. I sometimes feel this way or relate to this issue, and it can bother me A little. I occasionally feel this way or relate to this issue, but it doesn’t really bother me No. I never feel this way and cannot really relate to this issue

Serious illness or physical incapacity: I am personally affected by a serious or chronic illness or incapacity. Absolutely! This is a serious or life issue for me, and it deeply upsets or worries or incapacitates me Yes. I frequently feel this way or relate to this issue, and it really bothers or upsets me Somewhat. I sometimes feel this way or relate to this issue, and it can bother me A little. I occasionally feel this way or relate to this issue, but it doesn’t really bother me No. I never feel this way and cannot really relate to this issue

Serious illness or physical incapacity: Someone close to me, a spouse or family member, is affected by a serious or chronic illness or incapacity. Absolutely! This is a serious or life issue for me, and it deeply upsets or worries or incapacitates me Yes. I frequently feel this way or relate to this issue, and it really bothers or upsets me Somewhat. I sometimes feel this way or relate to this issue, and it can bother me A little. I occasionally feel this way or relate to this issue, but it doesn’t really bother me No. I never feel this way and cannot really relate to this issue

Relationship or familial stress: I experience friction, regular arguments, abuse or disconnect in my significant relationship(s) or family life. Absolutely! This is a serious or life issue for me, and it deeply upsets or worries or incapacitates me Yes. I frequently feel this way or relate to this issue, and it really bothers or upsets me Somewhat. I sometimes feel this way or relate to this issue, and it can bother me A little. I occasionally feel this way or relate to this issue, but it doesn’t really bother me No. I never feel this way and cannot really relate to this issue

History of abuse or trauma: I have experienced emotional, physical, mental or sexual abuse or trauma in the past or currently. Absolutely! This is a serious or life issue for me, and it deeply upsets or worries or incapacitates me Yes. I frequently feel this way or relate to this issue, and it really bothers or upsets me Somewhat. I sometimes feel this way or relate to this issue, and it can bother me A little. I occasionally feel this way or relate to this issue, but it doesn’t really bother me No. I never feel this way and cannot really relate to this issue

Personal or spousal drug use: I or someone in my close family uses alcohol, tobacco, recreational or state altering drugs on a regular basis. Absolutely! This is a serious or life issue for me, and it deeply upsets or worries or incapacitates me Yes. I frequently feel this way or relate to this issue, and it really bothers or upsets me Somewhat. I sometimes feel this way or relate to this issue, and it can bother me A little. I occasionally feel this way or relate to this issue, but it doesn’t really bother me No. I never feel this way and cannot really relate to this issue

Parental history: During childhood my parents or carers suffered from drug addiction or unstable relationships, or had serious financial challenges, or they divorced, or I suffered childhood neglect. Absolutely! This is a serious or life issue for me, and it deeply upsets or worries or incapacitates me Yes. I frequently feel this way or relate to this issue, and it really bothers or upsets me Somewhat. I sometimes feel this way or relate to this issue, and it can bother me A little. I occasionally feel this way or relate to this issue, but it doesn’t really bother me No. I never feel this way and cannot really relate to this issue

Other issue: I am aware of another issue not mentioned here that repeated plays on my mind, or causes me emotional or physical distress Absolutely! This is a serious or life issue for me, and it deeply upsets or worries or incapacitates me Yes. I frequently feel this way or relate to this issue, and it really bothers or upsets me Somewhat. I sometimes feel this way or relate to this issue, and it can bother me A little. I occasionally feel this way or relate to this issue, but it doesn’t really bother me No. I never feel this way and cannot really relate to this issue

How can Debra Billett Life Transformation Coach, help you?