Women’s Health Self-Test
Dr.Anca’s WOMEN’S HEALTH SELF-TEST
Stress Test to Determine Adrenal Health
Lifestyle
Give yourself 4 points for each situation that applies to you; 3 if it only applies occasionally.
__ I am a single mother.
__ I am a university student.
__ I am in an unhappy marriage.
__ I live with an alcoholic or drug abuser.
__ I work shift work.
__ I like my job, but have too much work to do.
__ I like my job, but my boss is too demanding.
__ I shop to make myself feel better.
__ I work too much and don’t have enough play time.
__ I don’t eat regularly (more than 4-5 hours between meals).
__ I smoke, drink alcohol or consume more than 2 cups of caffeinated beverages (coffee, tea, colas, sodas) daily.
__ My family and friends are not supportive of the things I do.
__ I have friends who take but never give.
Emotions
Rate your negative emotions on a scale of 1 to 4; 1 is for feeling you have on occasion, 4 is for emotions you experience frequently.
__ I am worried about paying my bills this month.
__ I look at myself in the mirror and think negative thoughts.
__ I am lonely.
__ I dislike my job.
__ I am always trying to please everyone.
__ I have feelings of guilt or anger.
__ I am afraid of failure.
__ I have feelings of anxiety or low moods.
__ I feel trapped or that I can’t cope sometimes.
__ I get angry with myself.
Physical Symptoms
Give yourself 4 points for symptoms you have frequently; 3 for those that occur often, 2 for occasional symptoms, and 1 for symptoms you have had in the past.
__ I am exhausted, but keep going.
__ My stomach feels like it has butterflies.
__ I crave sugar.
__ I am sick more than three times a year.
__ I lack sexual desire.
__ I am tired all the time.
TOTAL SCORE ______
Add up the numbers to arrive at a total for each section, and then add the totals for each section to arrive at the grand total.
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