Tell us a little about yourself
Your information is completely Private and Confidential
Q1. In the last 4 weeks how often have you
been upset because of something that happened unexpectedly
Q2. In the last 4 weeks how often have you
felt that you were unable to control the important things in your life
Q3. In the last 4 weeks how often have you
felt nervous or stressed
Q4. In the last 4 weeks how often have you
felt confident about handling your personal problems
Q5. In the last 4 weeks how often have you
felt that things were going your way
Q6. In the last 4 weeks how often have you
found that you could not cope with all the things you had to do
Q7. In the last 4 weeks how often have you
been able to control your irritations.
Q8. In the last 4 weeks how often have you
felt that you were on top of things
Q9. In the last 4 weeks how often have you
felt angry with things outside your control