Welcome to your Stress - Brain Index On a scale of 1 to 10 (10 being severely stressed, 5 being moderately stressed, and 1 being mildly stressed), how stressed are you right now? 1 2 3 4 5 6 7 8 9 10 Look at the time, what time is it? Is the stress you are feeling happening between the hours of 10pm and 9am? Yes No So far, have you eaten healthy today? Yes No Does the stress you are feeling involve a close friend or family member? Yes No Have you been physically active today? Yes No Is the stress you are feeling related to school or work? Yes No Did you get good, quality sleep last night? Yes No Does the stress you are feeling involve your finances? Yes No Do you have healthy supportive relationships? Yes No Does the stress you are feeling involve any legal issue(s)? Yes No Do you feel connected to those around you? Yes No Do you have a sense of purpose in life? Yes No Are you continuously worrying about something? No Yes, mildly Yes, moderately Yes, severely Are you being flooded with negative thoughts? No Yes, mildly Yes, moderately Yes, severely Are you struggling with self-doubt? No Yes, mildly Yes, moderately Yes, severely Are you feeling anxious or depressed? No Yes, mildly Yes, moderately Yes, severely Do you feel paralyzed, unable to do anything? No Yes, mildly Yes, moderately Yes, severely Are you feeling angry, irritable, or unable to relax? No Yes, mildly Yes, moderately Yes, severely Are you feeling overwhelmed, unmotivated, or unfocused? No Yes, mildly Yes, moderately Yes, severely Do you feel out of control or impulsive? No Yes, mildly Yes, moderately Yes, severely Are you too tired, nervous, or upset to get things done? No Yes, mildly Yes, moderately Yes, severely Do you feel detached from reality? No Yes, mildly Yes, moderately Yes, severely Are you feeling helpless and hopeless? No Yes, mildly Yes, moderately Yes, severely Do you have chest pains, a headache, or abdominal cramping? No Yes, mildly Yes, moderately Yes, severely Are you short of breath or is it hard for you to swallow? No Yes, mildly Yes, moderately Yes, severely Are you dizzy, lightheaded, or faint? No Yes, mildly Yes, moderately Yes, severely Is your heart racing or pounding? No Yes, mildly Yes, moderately Yes, severely Are you nauseous or vomiting? No Yes, mildly Yes, moderately Yes, severely Are you trembling or shaking? No Yes, mildly Yes, moderately Yes, severely Are you lacking in energy and strength? No Yes, mildly Yes, moderately Yes, severely Are you sweating? No Yes, mildly Yes, moderately Yes, severely Are your muscles tight, tense, or sore? No Yes, mildly Yes, moderately Yes, severely Are you craving a drink, a smoke, food, sweets, or other substance? No Yes, mildly Yes, moderately Yes, severely Are you making bad choices? No Yes, mildly Yes, moderately Yes, severely Time's up
