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Stress Symptom Checklist: Physical Symptoms Psychological Symptoms

This document provides a checklist for individuals to assess physical and psychological symptoms of stress they have experienced in the last month. It contains a list of over 50 symptoms across both categories. Users check off all relevant symptoms and total their score, with higher numbers indicating more stress - a score of 0-7 is considered low stress, 8-14 is moderate, 15-21 is high, and 22+ is very high stress. The checklist is intended to help individuals evaluate their stress levels.

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maria pia otarola
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455 views

Stress Symptom Checklist: Physical Symptoms Psychological Symptoms

This document provides a checklist for individuals to assess physical and psychological symptoms of stress they have experienced in the last month. It contains a list of over 50 symptoms across both categories. Users check off all relevant symptoms and total their score, with higher numbers indicating more stress - a score of 0-7 is considered low stress, 8-14 is moderate, 15-21 is high, and 22+ is very high stress. The checklist is intended to help individuals evaluate their stress levels.

Uploaded by

maria pia otarola
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Stress Symptom Checklist

Source: The Anxiety and Phobia Workbook by Edmund J. Bourne, Ph.D.


Instructions: Check each item that describes a symptom you have experienced to any significant degree
during the last month. Then, total the number of items checked.
Physical Symptoms Psychological Symptoms
□ Headaches [migraine or tension] □ Anxiety
□ Backaches □ Depression
□ Tight muscles □ Confusion or “spaciness”
□ Neck and shoulder pain □ Irrational fears
□ Jaw tension □ Compulsive behavior
□ Muscle cramps, spasms □ Forgetfulness
□ Nervous stomach □ Feeling “overloaded” or overwhelmed
□ Other pain □ Hyperactivity; feeling you can’t slow down
□ Nausea □ Mood swings
□ Insomnia [sleeping poorly] □ Loneliness
□ Fatigue, lack of energy □ Problems with relationships
□ Cold hands and/or feet □ Dissatisfied/unhappy with work
□ Tightness or pressure in the head □ Difficult concentrating
□ High blood pressure □ Frequent irritability
□ Diarrhea □ Restlessness
□ Skin condition [e.g., rash] □ Frequent boredom
□ Allergies □ Frequent worrying or obsessing
□ Teeth grinding □ Frequent guilt
□ Digestive upsets [cramps, bloating] □ Temper flare-ups
□ Heart beats rapidly or pounds, even at rest □ Crying spells
□ Stomach pain or ulcer □ Nightmares
□ Constipation □ Apathy
□ Hypoglycemia □ Sexual problems
□ Appetite change
□ Colds
□ Profuse perspiration
□ Overeating
□ Weight change
□ When nervous, use of alcohol, cigarettes, or recreational drugs
Total Number of Items Checked: _____ Evaluate your stress level as follows:
Number of Items Checked Stress Level
0-7 Low
8-14 Moderate
15-21 High
22+ Very High

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