All changes, big or small, cause some disruption in a person’s life. Different life crises have different impacts. To evaluate your chances of change-related illness, add up the values of all the changes that have occurred in your life in the last year. This rating scale helps show the relationship between major changes in your life and your health. It can also be used as a preventive tool because, in many cases, you may be able to anticipate change and prepare for it.

 

Major Changes vs. Health
Self-Screening Test

First, go through the list and check the boxes in the appropriate areas. Then go back and fill in the “Value” boxes with the corresponding number. Total at the bottom.

1. EventValue

2. Death of spouse100

3. Divorce 73

4. Separation 65

5. Jail term 63

6. Death of a close family relation 63

7. Personal illness or injury 53

8. Marriage 50

9. Fired at work 47

10. Marriage reconciliation 45

11. Retirement 45

12. Change in the health of a family member 44

13. Pregnancy 40

14. Sex difficulties 39

15. Gain of a new family member 39

16. Business readjustment 38

17. Change of financial state 38

18. Death of a close friend 37

19. Change to a different line of work 36

20. Change in the # of arguments with spouse 35

21. Having a large mortgage or loan 30

22. Foreclosure of mortgage or loan 30

23. Change of responsibilities at work 29

24. Child leaving home 29

25. Trouble with in-laws 29

26. Outstanding personal achievement 28

27. Spouse begins or stops work 26

28. Begin or end school or college 26

29. Change in living conditions 25

30. Change in personal habits 24

31. Trouble with boss 23

32. Change in working hours or conditions 20

33. Change of residence 20

34. Change of recreation 19

35. Change in church activities 19

36. Change in social activities 18

37. Having a moderate mortgage or loan 17

38. Change in sleeping habits 16

39. Change in eating habits 15

40. Holiday 13

41. Christmas 12

42. Minor violations of the law 11

 

Add up the values in the boxes you’ve checked above    SCORE _______________

 

The score and percentages below represent your chance of having a serious health

change within the next 12 months.

Score  %

Less than 150=10%

150-199=33%

200-299=50%

300+ =80%

 

This questionnaire is intended to give you a general indication of stress and in no way should be taken as an accurate diagnosis regardless of your results.  REACH can provide support for change management related concerns. Call 1-800-273-5273.

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