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Hypnosis and Stress Management
1. Print out this form
2. Make a check mark next to each event that you have
experienced this year.
3. When you're done, add up the points for each
event.
4. Check your score at the bottom.
_____
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
_____ Foreclosure 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
______ Your
Total Score
This scale shows the kind of life pressure that you
are facing. Depending on your coping skills or the lack thereof, this
scale can predict the likelihood that you will fall victim to a stress
related illness. The illness could be mild - frequent tension headaches,
acid indigestion, loss of sleep to very serious illness like ulcers,
cancer, migraines and the like.
LIFE STRESS
SCORES
0-149 Low susceptibility to stress-related
illness
150-299 Medium susceptibility to stress-related
illness.
Learn and practice
relaxation and
stress management skills and a
healthy
life style.
300 and over High susceptibility to stress-related
illness
Daily practice of relaxation skills is very important
for your
wellness. Take care of
yourself now
before a
serious illness erupts or an
affliction becomes worse.
Learn what Hypnosis can do for
you.
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