Perceived Stress Scale
The questions in this scale ask you about your feelings and thoughts DURING THE LAST MONTH. In each case, you will be asked to indicate how often you felt or thought a certain way. We recommend you complete this assessment prior to training and again after completing at least 10 sessions. 0 = Never, 1 = Almost Never, 2 = Sometimes, 3 = Fairly Often, and 4 = Very Often.
Today's Date:
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Month
-
Day
Year
Date
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Perceived Stress Scale
The questions in this scale ask you about your feelings and thoughts DURING THE LAST MONTH. In each case, you will be asked to indicate how often you felt or thought a certain way. We recommend you complete this assessment prior to training and again after completing at least 10 sessions. 0 = Never, 1 = Almost Never, 2 = Sometimes, 3 = Fairly Often, and 4 = Very Often.
Name:
*
First Name
Last Name
Birthdate:
*
-
Month
-
Day
Year
Date
Gender:
Male
Female
Prefer not to say
Other
Email:
*
example@example.com
Occupation:
*
Have you ever served in the military or as a first responder? If so, please specify in what capacity.
*
How many sessions have you had?
*
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Perceived Stress Scale
The questions in this scale ask you about your feelings and thoughts DURING THE LAST MONTH. In each case, you will be asked to indicate how often you felt or thought a certain way. We recommend you complete this assessment prior to training and again after completing at least 10 sessions. 0 = Never, 1 = Almost Never, 2 = Sometimes, 3 = Fairly Often, and 4 = Very Often.
In the last month, how often have you been upset because of something that happened unexpectedly?
*
0
1
2
3
4
Never
Very Often
0 is Never, 4 is Very Often
In the last month, how often have you felt that you were unable to control the important things in your life?
*
0
1
2
3
4
Never
Very Often
0 is Never, 4 is Very Often
In the last month, how often have you felt nervous and "stressed"?
*
0
1
2
3
4
Never
Very Often
0 is Never, 4 is Very Often
In the last month, how often have you felt confident about your ability to handle your personal problems?
*
0
1
2
3
4
Never
Very Often
0 is Never, 4 is Very Often
In the last month, how often have you felt that things were going your way?
*
0
1
2
3
4
Never
Very Often
0 is Never, 4 is Very Often
In the last month, how often have you found that you could not cope with all the things that you had to do?
*
0
1
2
3
4
Never
Very Often
0 is Never, 4 is Very Often
In the last month, how often have you been able to control irritations in your life?
*
0
1
2
3
4
Never
Very Often
0 is Never, 4 is Very Often
In the last month, how often have you felt that you were on top of things?
*
0
1
2
3
4
Never
Very Often
0 is Never, 4 is Very Often
In the last month, how often have you been angered because of things that were outside of your control?
*
0
1
2
3
4
Never
Very Often
0 is Never, 4 is Very Often
In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?
*
0
1
2
3
4
Never
Very Often
0 is Never, 4 is Very Often
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