How much sleep do you get each night?
	Around 9 hours
	Around 8 hours
	Around 7 hours
	Around 6 hours
	Around 5 hours
	Less than 5 hours
What area of your life causes you the most stress on a regular basis?
	School
	Homework
	My relationships
	Parents
	Health problems
	The future
	Other
Do you plan to set New Year resolutions?
	I plan to in January.
	I'm thinking about it.
	No way!
	What are resolutions?
How Does Stress Affect Your Eating Patterns?
	Not at all. I always eat healthy.
	I overeat. When I'm stressed.
	I eat fast food when I'm stressed. I'm too stressed out to cook.
	I'm an 'emotional eater'. I crave sweets when I'm stressed.
	I skip meals. I just get so busy I forget to eat.
Are You An Optimist or a Pessimist?
	I'm Definitely An Optimist!
	I'm Somewhat More Optimistic.
	I Guess I'm Somewhat More Pessimistic.
	I'm A Total Pessimist!
How Many Hours (Per Week) Do You exercise?
	3 Or Fewer
	3-7
	7-10
	10-15
	15-20
	More Than 20!
	I never exercise
Do you have anyone you can talk to about the stress you feel in your life?
	Yes, I have several people I can talk to about anything when times get tough.
	Yes, I have one or two people I can talk to about my feelings.
	Sort of. I have friends I can talk to about superficial things, but not about things like feelings and frustrations.
	No, I really don't have anyone I feel I can talk to when I'm under stress.
	I wish I had someone to talk to.
Are You A Perfectionist?
	Yes.
	Yes, but I'm working to overcome it.
	No.
How Do You Suspect Stress Is Affecting Your Health? (Check All That Apply):?
	I think stress is affecting my sleep.
	I think stress is causing me to be sick more often.
	I think stress is causing weight problems.
	I think stress is affecting my emotions, causing anxiety or depression.
	I think stress is at least partially responsible for a major health problem I'm experiencing.
	I don't think stress is affecting my health at all.
Would You Say That You Are Truly Happy In Your Life?
	Yes, overall, I am truly happy.
	Somewhat; I'm not as happy as I'd like to be, but I'm happy enough.
	No, I'm not nearly as happy as I'd like to be.
Do you have clear goals In Your Life?
	Yes, I have clear personal goals for the near and distant future.
	Yes, but they're pretty vague.
	No, I'm just trying to get through the present!

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