Quiz

breathing space therapies: Stress Quiz

Are you unduly stressed?

Are you unduly stressed?
Of course, we need a certain amount of stress in order to keep ourselves going. But a build up a considerable stress over a prolonged period can seriously affect your mental, emotional and physical health. Stress is a significant contributor, for example, to heart disease, hypertension and cancer as well as many muscular complaints, headaches and so on.

To maintain healthy stress levels we have to find the right balance of diet, exercise, work and relaxation for our own body and mind.

To see how your stress levels rate at the moment, complete the following questionnaire. Remember to answer honestly as nobody is judging you. We will then send you a detailed FREE assessment of your current stress levels. Please note these are simply guidelines and it is difficult to make a complete assessment online. If you are concerned about your stress levels, please don’t ignore it, they won’t get better by simply battling through. Give me a call on 0772 581 8884 or e-mail me on annie@breathingspacetherapies.co.uk.

	Use ALL boxes to get full benefit from this Quiz.
1)	What level of importance do you attach to your personal wellbeing?
Very Important 1 2 3 4 5 Not Important
2)	Which of the following do you believe are important to your long-term wellbeing. (please tick all that apply):
	Diet/nutrition Exercise/physical activity Ability to relax Stress levels Relationships at home Relationships at work Fulfilment in work Fulfilment in relationships Keeping a positive mental Attitude Personal organisation & Management Home environment Work environment Consumption of sugar, tobacco, alcohol, caffeine etc Regular medications/supplements Job/career Home life
3)	Do you experience any of the following: 1= never 2= rarely 3= sometimes 4= frequently 5= constantly
	Depression 1 2 3 4 5 Anxiety/panic attacks 1 2 3 4 5 Phobias 1 2 3 4 5 Interrupted sleep patterns 1 2 3 4 5 Changes in appetite 1 2 3 4 5 Mood swings 1 2 3 4 5 Emotional outbursts (tearfulness, anger, frustration, swearing etc) 1 2 3 4 5 Feelings of low self-esteem 1 2 3 4 5 Headaches 1 2 3 4 5 Tight or painful muscles 1 2 3 4 5 Chest pains 1 2 3 4 5 High blood pressure 1 2 3 4 5 Diabetes 1 2 3 4 5 Heart problems 1 2 3 4 5 Ulcers 1 2 3 4 5 Digestive problems 1 2 3 4 5 Nervous disorders 1 2 3 4 5 Back pain 1 2 3 4 5 Regular colds 1 2 3 4 5 Tiredness/fatigue 1 2 3 4 5 Low energy levels 1 2 3 4 5 Feelings of being out of control 1 2 3 4 5
4)	Which of the following do you regularly take part in (please tick as many as apply)
	Reading newspapers & lifestyle magazines Reading books (novels, fiction etc) Playing video games Going to the cinema Watching scary/violent movies Playing a sport Going to the gym/swimming pool Dancing, yoga, martial arts or other active classes Taking regular holidays/breaks Eating out Eating take-aways & pre-prepared meals Reading self-development books Attending self-development seminars/courses Going to the theatre Watching TV Attending political rallies Attending spiritually uplifting services/events Listening to music Going to a classical concert Attending music gigs Visiting gardens Working in your own garden Visiting art galleries Walking in the countryside & other natural environments Meditating/breathing techniques Relaxing Drinking alcohol Going out with friends Drinking tea & coffee Smoking cigarettes, a pipe or cigars Entertaining friends & family Artistic activities such as drawing, painting, pottery, sewing etc Shopping for clothes, jewellery, electrical gadgets etc Using mobile phone Using computers & other electrical appliances/gadgets Listening to iPod or other personal music devices Going for a massage or other physical therapy Attending counselling/life coaching/mentoring sessions
5)	you aware of what things cause you stress?
Yes No Don’t know
6)	Are you aware of the symptoms & consequences of continual stress?
Yes No Don’t know
7)	Which of the following subjects interest you? (please tick all that apply)
	Developing a positive mental attitude Eating & drinking for better wellbeing Learning to breathe & relax Sleeping & feeling well Making your dreams reality How to incorporate exercise into your daily routine Learning to meditate Yoga for better backs & better health Overcoming panic attacks/phobias Learning EFT Distance healing for yourself or someone you know Basic feng shui Organisational skills for relieving stress
Name: Email:
Phone: Address:
Complete your Name & contact details and Annie will be in touch to discuss your Quiz resulst and what it means.
Thank you for taking the time to complete this questionnaire. Please tick the box is you wish to receive our regular e-mail newsletters giving hints and tips on positive stress management and wellbeing and keeping you updated of related events and products

Contact

Tel : 0772 581 8884

Email: annie@breathingspacetherapies.co.uk