Stress Level Survey
Please take a few moments and fill out this informational survey. Results are used for statistical purposes only
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For each question, below, please give your answer on a scale from "1" to "10" -- "1" being the least possible degree, and "10" being the greatest possible degree.
1) How high or low would you say is your average daily stress level?
2) How much is your PRESENT reality (relationships included) negatively affected by PAST painful experiences?
3) How much is your self-esteem negatively affected by past painful experiences?
4) How much do you worry about your future?
5) How much is your present reality (relationships included) negatively affected by worries about your future?
6) How much control do you HONESTLY feel you have over your emotions?
7) How willing would you be to revisit and examine past painful experiences, if you were confident that you would be happier as a result?
8) How interested would you be in a completely "drug free" method of reducing and/or relieveing the stresses and worries in your Life?
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