(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 |
| ___ | Significant weight change (loss or gain) |
| ___ | Frequent eating between meals |
| ___ | Insomnia |
| ___ | Snoring |
| ___ | Sleepwalking |
| ___ | Hypersomnia |
| ___ | Agitation |
| ___ | Sluggishness, slow to function |
| ___ | Fatigue, low energy, or feeling tired all of the time |
| ___ | Feelings of worthlessness or guilt |
| ___ | Difficulty concentrating, thinking, and remembering |
| ___ | Indecisiveness |
| ___ | Recurrent thoughts of death or suicide |
| ___ | Suicide attempts |
| ___ | Nervous exhaustion |
| ___ | Worrying excessively or being anxious |
| ___ | Frequent crying |
| ___ | Being extremely shy or sensitive |
| ___ | Lumps or swelling in your neck |
| ___ | Blurring of vision |
| ___ | Seeing double |
| ___ | Seeing colored halos around lights |
| ___ | Pains or itching around the eyes |
| ___ | Excess blinking or watering of the eyes |
| ___ | Loss of vision |