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Is Your Stress Emotional, Mental, or Physical?
Stress Survey Form
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Email address
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1. Because you want your results, please enter your name and e-mail.
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2. I am frequently overwhelmed.
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Yes
No
3. I notice I am overeating.
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Yes
No
Required
4. I wake up frequently at night.
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Yes
No
Required
5. I am not doing my normal activities.
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Yes
No
Required
6. I am not as creative as I used to be.
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Yes
No
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7. I lose my temper over something that feels significant but really isn't.
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Yes
No
Required
8. I usually make decisions easily but lately I can't seem to decide anything.
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Yes
No
Required
9. It is easier to cry rather than laugh.
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Yes
No
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