STRESS CHECKLIST
This checklist is designed to assess the common causes and effects of stressors in a student’s life.
Name:
Age:
Gender:
School:
Instructions: For each statement below, tick the box which according to your opinion applies best to the
query sought. Your response shall be used for research purpose only.
Checklist 1
(Internal/ External/ Academic Stressors)
1) I feel exhausted if I get more than one assignment at a time.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
2) I am confident about my exams always and never let any exam affect my performance.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
3) I am conscious about myself when I go out in public.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
4) I feel like my choices and decisions in life are being controlled by others.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
5) Challenges and competitions always motivate me to perform better.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
6) I always share what’s on my mind including tensions with my family and friends.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
7) I trust my friends and feel that they are loyal towards me.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
8) I feel uncomfortable after a serious argument or quarrel with a friend or family member.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
9) I am always satisfied with my health, eating habits and working routine.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
10) I always tend to complete assignments and goals I have set on time.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
11) I face my difficulties and don’t run away from them.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
12) I worry about my social reputation on the basis of bad results.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
13) I enjoy attending family functions, social gatherings and public meets.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
14) My parents usually pressurize me in my examinations for better results.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
15 I feel like I usually fall short of my own expectations.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
Checklist 2
(Effects of stress: physical, psychological, behavioural)
1) I usually get disrupted sleep at night.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
2) I fear doing stage performances and public speaking.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
3) I have noticed change in my appetite.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
4) I usually worry about my future outcomes.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
5) I am getting the rest and relaxation that I need.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
6) My best friends consider me aggressive and fearful at times.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
7) I often feel things are out of my control.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
8) I have found myself less motivated to do things, I previously liked.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
9) I sometimes forget where I have left things.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
10) I get frustrated over the smallest issues.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
11) I find it hard to concentrate in anything I am doing.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
12) I feel run down and drained of physical and emotional energy quite frequently.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
13) I have had considerable change in weight in the recent past.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
14) I suffer from headaches at the end of a long day.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
15) I am prone to mood swings more than usual.
Very often [ ] Often [ ] Sometimes [ ] Rarely [ ] Very rarely [ ]
……………………end of questionnaire…………………………