Stress related problems appear to be on the rise. Are there
solutions?
Thank you for giving us your opinions.
What is the number one everyday stress in your life:
Job
Relationship
Money
Health
Fear (Please explain)
Other:
If you chose job, what are the reasons for this stress?
Undefined job
description (always changing)
Work overload
Difficult Boss
Difficult co-workers
Deadlines
Expansion
Job Security
Harassment
Other:
In general, would you say your health is affected by
your
stress?
Definitely
Possibly
Sometimes
Never
Which of these ailments do you suffer from, and believe
are related to stress?
Headaches
Nausea/upset stomach
Forgetfulness
Short tempter/Aggressiveness
Sudden Weight
loss/weight gain
Difficulty sleeping or
sleeping too much
Fearfulness
Consistent Colds
Other:
What do you do to relieve stress?
Exercise
Therapy
Prescribed
Medication
Bio-feedback
Music./Dancing
Animals/Pets
Schedule
"play" time with friends
Alcohol./Non-prescriptive
Drugs
Church/Prayer
Meditation/Yoga
Other:
On average, how many days do you miss from work due to stress related
symptoms?
4+ times each year
1-3 times each month
Occasionally
Seldom
Never
On average, how often do you visit the doctor each year
for minor problems that are "suggested" as possible reactions to
stress?
4+ times each year
1-3 times each year
Occasionally
Seldom
Never
If there was a perfect solution to manage stress, what do you think that
would be?
Do you feel you eat a balance and nutritious
diet?
4+ times each week
2-4 times each week
Occasionally
Seldom
Never
Do you smoke?
Occasionally
Seldom
Never
Do you drink alcohol?
Occasionally
Seldom
Never
Do you eat fast food, and food on the run?
Often
Occasionally
Seldom
Never
Do you take nutritional supplements?Daily
Occasionally
Seldom
Never
How often do you feel you must diet to maintain your
weight?
Always
Occasionally
Seldom
Never
Any other comments on the stress of our
population?
Thank you for your time. The following information
would also help us to understand the demographics of the opinions we
receive.
Your Age
Male or Female
City and State
Profession
Number of years in this
Profession/Job
If you would like to be
contacted, please give us your email:
And tell us what we can do for you:
Thank you for your time.
If you would like to give your
opinion in our Health Study, please click here: Health
Survey
