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EAP stress survey


1. My life is filled with stress.
All the time A lot of the time Some of the time never

2. At the end of a day, I feel frustrated because I did not accomplish all that I planned to do.
All the time A lot of the time Some of the time never

3. I find myself trying to be everything to everybody.
All the time A lot of the time Some of the time never

4. My physical health is affected by stress in my life.
All the time A lot of the time Some of the time never

5. My life is a series of crises.
All the time A lot of the time Some of the time never

6. I am frustrated by the lack of support I get from my family.
All the time A lot of the time Some of the time never

7. I have difficulty setting aside time for activities with my family or partner.
All the time A lot of the time Some of the time never

8. The members of my family share in the care and maintenance of our home.
All the time A lot of the time Some of the time never

9. My work life interferes with my family.
All the time A lot of the time Some of the time never

10. I feel that my working conditions are bad.
All the time A lot of the time Some of the time never

11. My family life interferes with my work.
All the time A lot of the time Some of the time never

12. I feel unsuccessful in balancing work and family roles.
All the time A lot of the time Some of the time never

13. I am frustrated by my lack of involvement in the lives of those who are important to me.
All the time A lot of the time Some of the time never

14. I need additional help in managing my work and family responsibilities.
All the time A lot of the time Some of the time never

15. Money is a source of conflict in my family unit.
All the time A lot of the time Some of the time never