target="_blank" rel="nofollow" href="#litres_trial_promo">page 135) to determine your total score.
A. DIETARY STRESS
B. ENVIRONMENTAL STRESS Drinking Water
C. CHEMICAL STRESS
D. PHYSICAL STRESS
E. Holmes-Rahe Social Readjustment Rating*
(Circle the mean values that correspond with life events listed below which you have experienced during the past 12 months.)
| Death of spouse | 100 |
| Divorce | 73 |
| Marital separation | 65 |
| Jail term | 63 |
| Death of close family member | 63 |
| Personal injury or illness | 53 |
| Marriage | 50 |
| Fired at work | 47 |
| Marital reconciliation | 45 |
| Retirement | 45 |
| Change in health of family member | 44 |
| Pregnancy | 40 |
| Sexual difficulties | 39 |
| Gain of new family member | 39 |
| Business readjustment | 39 |
| Change in financial state | 38 |
| Death of close friend | 37 |
| Change to different line of work | 36 |
| Change in number of arguments with spouse | 35 |
| Mortgage over $20,000 | 31 |
| Foreclosure of mortgage or loan | 30 |
| Change in responsibilities at work | 29 |
| Son or daughter leaving home | 29 |
| Trouble with in-laws | 29 |
| Outstanding personal achievement | 28 |
| Spouse begins or stops work | 26 |
| Begin or end school | 25 |
| Change in living conditions | 24 |
| Revision of personal habits | 23 |
| Trouble with boss | 20 |
| Change in work hours or conditions | 20 |
| Change in residence | 20 |
| Change in schools | 19 |
| Change in recreation | 19 |
| Change in church activities | 18 |
| Change in social activities | 17 |
| Mortgage or loan less than $20,000 | 16 |
| Change in sleeping habits | 15 |
| Change in eating habits | 15 |
| Vacation, especially if away from home | 13 |
| Christmas or other major holiday stress | 12 |
| Minor violations of the law | 11 |
(Add the mean values to get the Holmes-Rahe total. Then refer to the conversion table to determine your number of points.)
*The Social Readjustment Rating Scale: See Holmes. T. H. and Rahe, R.H.: The social readjustment raring scale. Journal of Psychosomatic Research. 11:213218, 1967, for complete wording; of these items. Reproduced with permission of the authors and publisher.
EMOTIONAL STRESS
The higher your Total Life Stress, the higher the number of symptoms.
SYMPTOM INDEX
When people are chronically ill, they often have other symptoms. Do you have any of the following? Please check only those that you have now or recently.
| ___ | Depressed mood |
| ___ |
Loss of interest or pleasure in things you used to enjoy
|
