Page 1 of 2
DO YOU FREQUENTLY DO THIS?
Q.1
Neglect your diet?
Yes
No
Q.2
Try to do everything yourself?
Yes
No
Q.3
Blow up easily?
Yes
No
Q.4
Seek unrealistic goals?
Yes
No
Q.5
Fail to see humor in situations others find funny?
Yes
No
Q.6
Act rude?
Yes
No
Q.7
Make a 'big deal' of everything?
Yes
No
Q.8
Neglect exercise?
Yes
No
Q.9
Avoid people?
Yes
No
Q.10
Get too little rest?
Yes
No
Q.11
Get angry when you are kept waiting?
Yes
No
Q.12
Ignore stress symptoms?
Yes
No
Q.13
Fail to build relaxation time into your day?
Yes
No
Q.14
Spend a lot of time complaining about the past?
Yes
No
Q.15
Use medication i.e sleeping pills / headache pills ?
Yes
No
COUNT ALL THE YESES OUT OF 15
Page 1 of 2