Stress Test

Answer the following questions about yourself:

1.
Do you find yourself thinking about problems even when you are supposed to be relaxing?
Yes
No
2.
Do you deny or ignore problems hoping that they will go away?
Yes
No
3.
Have you been feeling tired or fatigued after you have had adequate sleep?
Yes
No
4.
Do you often nod or finish other people's sentences when they speak slowly?
Yes
No
5.
Are you experiencing appetite changes like eating too much or skipping meals (no appetite)?
Yes
No
6.
Do you have low sex drive?
Yes
No
7.
Do you often find yourself grinding teeth?
Yes
No
8.
Do you feel frustrated with traffic jams and long queues?
Yes
No
9.
Are your experiencing increased muscle pain in your neck, shoulders, head and lower back?
Yes
No
10.
Do you have a greater dependency on alcohol, caffeine, drugs or nicotine?
Yes
No
Please answer all of the questions before continuing.

Please provide us with your contact information to email your test results.

First Name:
Last Name:
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