The following test asks you questions about the events of your life that have occurred over the past 12 months. Print this form out and place an 'X' beside each event that has happened to you in the last year. When you're done, add up the point values and check the results at the bottom of the page.
| X | Stressor | Points |
|---|---|---|
| _____ | Death of Spouse | 100 |
| _____ | Divorce | 73 |
| _____ | Marital Separation | 65 |
| _____ | Jail Term | 63 |
| _____ | Death of close family member | 63 |
| _____ | Personal injury or illness | 53 |
| _____ | Marriage | 50 |
| _____ | Fired from work | 47 |
| _____ | Marital reconciliation | 45 |
| _____ | Retirement | 45 |
| _____ | Change in family member's health | 44 |
| _____ | Pregnancy | 40 |
| _____ | Sex difficulties | 39 |
| _____ | Addition to family | 39 |
| _____ | Business readjustment | 39 |
| _____ | Change in financial status | 38 |
| _____ | Death of close friend | 37 |
| _____ | Change to a different line of work | 36 |
| _____ | Change in number of marital arguments | 35 |
| _____ | Mortgage or loan over $10,000 | 31 |
| _____ | Forclosure of mortgage or loan | 30 |
| _____ | Change in work responsibilities | 29 |
| _____ | Trouble with in-laws | 29 |
| _____ | Outstanding personal achievement | 28 |
| _____ | Spouse begins or stops work | 26 |
| _____ | Starting or finishing school | 26 |
| _____ | Change in living conditions | 25 |
| _____ | Revision of personal habits | 24 |
| _____ | Trouble with boss | 23 |
| _____ | Change in work hours, conditions | 20 |
| _____ | Change in residence | 20 |
| _____ | Change in schools | 20 |
| _____ | Change in recreational habits | 19 |
| _____ | Change in church activities | 19 |
| _____ | Change in social activities | 18 |
| _____ | Mortgage or loan under $10,000 | 17 |
| _____ | Change in sleeping habits | 16 |
| _____ | Change in number of family gatherings | 15 |
| _____ | Change in eating habits | 15 |
| _____ | Vacation | 13 |
| _____ | Christmas season | 12 |
| _____ | Minor violations of the law | 11 |
| _____ | Total Score |
This scale has proven to be a remarkable predictor of physical and mental illness for a two-year period after the accumulation of the stressors. It's important to distinguish here that this test does not indicate that you will have illness if you score highly on this test, only that you are more susceptible to it if you score highly. It's an important distinction to make.
0-149 Low susceptibility to stress-related illness.
150-299 Medium susceptibility to stress-related illness. It would be a good idea to minimize other changes in your life right now.
300 and over High susceptibility to stress-related illness. It would be a very good idea to minimize other changes in your life at this point, and work hard at starting and maintaining some stress intervention techniques.
Again it is important to emphasize that scoring highly on this test does not mean you will definitely develop illness, it simply means that you are much more pre-disposed to illness and disease than someone who has scored low on this scale.
Reflexology treatments are provided in the comfort of your own home or office.
Available in Edmonton Alberta Canada and immediate surrounding areas.
Appointment times are flexible to meet your schedule.