Life Changes Stress Test - Mesa Public Schools

1 life Changes Stress TestThe Recent life Changes Questionnaire (RLCQ) was first used at the University of Washington to collect information on life Changes . It has since been updated to better reflect the impact of today s use the questionnaire, print this page. You may use a 6-month or a 1-year timespan. Choose which you want to use, and then, for any events which have happened to you over the chosen period of time, copy the number of life change Units (LCU) into the last column. Then total the numbers in the last column for your score. To track how Stress may fluctuate throughout your life .

2 Use this questionnaire over 2 years at 6-month An illness or injury that kept you in bed for more than a week or sent you to the hospital74 An illness or injury that was less serious than above44 Major dental work26 Major change in eating habits27 Major change in sleeping habits26 Major change in your usual type and/or amount of recreation 28 WorkLCU change to a new type of work51 change in your work hours or conditions35 More work responsibilities29 Fewer work responsibilities21 A promotion31 A demotion42 A transfer32 Trouble with your boss29 Trouble with your coworkers35 Trouble with those you supervise35 Other work troubles28 Work continuedLCU Major business readjustment60 Retirement52 Laid off68 Fired79 Took a course to help your work18 Home and familyLCU Move within same city or town25 Move to different town, city.

3 Or state47 Major change in living conditions42 change in family get-togethers25 Major change in health or behavior of a family member55 Marriage50 Pregnancy67 Miscarriage or abortion65 Birth of a child66 Adoption of a child65 Relative moves in with you59 Spouse begins or stops work46 Child leaves home to attend college or for marriage41 Child leaves home for other reasons45 change in arguments with spouse50 Problems with relatives or in-laws38 Parents divorce59 A parent remarries50 Separation from spouse due to work 53 Separation from spouse due to marital difficulties79 Divorce96 Birth of grandchild43 Death of spouse119 Death of child123 Death of parent 100 Death of a brother or sister102 Personal and socialLCU change in personal habits 26 Beginning or ending school38 change of school or college35 change in political beliefs24 change in religious beliefs29 change in social activities27 Vacation24 New.

4 Close personal relationship37 Engagement to marry45 Girlfriend or boyfriend problems39 Sexual difficulties44 An accident48 Falling out of a close personal relationship47 Minor violation of the law20 Being held in jail75 Major decision about immediate future51 Major personal achievement36 Death of a close personal friend70 FinancialLCU Major loss of income60 Major increase in income38 Investment and/or credit difficulties56 Loss/damage to personal property43 Major purchase37 Moderate purchase20 Foreclosure on mortgage or loan58 ScoringTotal the scores in the last column.

5 A 6-month score of 300 or more, or a year score of total of 500 or more, indicates high Stress in your life . Talk with your primary care physician or a mental health professional about how you can learn to manage your :Adapted with permission from MA Miller and RH Rahe (1997). life Changes scaling for the 1990s. Journal of Psychomatic Research, 43(3): 279 292. Insurance coverage provided by or through United HealthCare Insurance Company or its affiliates. Administrative services provided by United HealthCare Insurance Company, United HealthCare Services, Inc.

6 Or their 8/07 Consumer 2007 United HealthCare Services, Inc.