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Stress Relief 2008 Post-course survey


We are asking for your honest responses to this quick survey to assess how you are feeling regarding stress in your life as a result of the stress relief program.

All of your survey responses will be strictly confidential and data from this research will be reported only in the aggregate.

Thank you.
 
 
 
What is your gender
 
Male
 
Female
 
 
 
What is your current age?
 
18-25
 
26-35
 
36-45
 
46-55
 
56 or older
 
 
 
On a scale from 1-5 (1=low and 5=high) how would you rate your current level of stress?
 
1
 
2
 
3
 
4
 
5
 
 
In the last month...
Never Almost Never Sometimes Almost Always Always
how often have you felt in control of your life?
how often have you felt stressed to the point that it effected your work and/or personal life?
 
 
 
In the past month, have you experienced any of the following physical symptoms? Check all that apply.
 
Headaches
 
Restlessness
 
Aches and Pains
 
Digestive Upset
 
Fatigue

 
Please contact [email protected] if you have any questions regarding this survey.
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