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The Holmes-Rahe Life Stress Inventory

How Stressed Are You?

The first step in reducing stress is becoming aware of the major sources of stress in your life. The following is a list of common stressors. Check all the boxes that apply. Your points will be totaled at the bottom of the test.

During the past 12 months, have you experienced: Points
Death of a spouse 100
Divorce 73
Marital/Relationship separation 65
Jail term 63
Death of a close family member 63
Major personal injury or illness 53
Marriage 47
Being fired from work 47
Marital reconciliation with partner 45
Retirement from work 45
Major change in family member's health 44
Pregnancy 40
Sexual difficulties 39
Addition to family (birth,adoption,older adult moving in, etc.) 39
Major business change 39
Major change in financial state (a lot worse or better off than usual) 38
Death of a close friend 37
Changing to a different line of work 36
Major change in the number of arguments with spouse/partner 35
Mortgage/Loan greater than $10,000 31
Foreclosure on a mortgage or loan 30
Major change in responsibilities at work (promotion, demotion, etc.) 29
Change in your sleeping habits 16
Several day vacation 13
Change in your eating habits 15
Major change in family gatherings 15
Change in recreational activities 19
Revision of personal habits (dress manners, associations, quitting smoking, etc.) 24
Minor violations of the law (traffic tickets, jaywalking, disturbing the peace, etc.) 11
Major change in church activities 19
Major change in social activities (clubs, movies, visiting, etc.) 18
In-law troubles 29
Son or Daughter leaving home 29
Outstanding personal achievement 28
Major change in living condition (new home, remodeling, deterioration of neighborhood or home, etc.) 25
Major changes in working hours or conditions 20
Troubles with the boss 23
Spouse/Partner beginning or ceasing work outside the home 26
Beginning or ceasing formal schooling 26
Major holidays 12
Total Points:

Stress is a major factor in illness. Stress is also one of the main factors in the onset of an anxiety disorder or panic attack condition. The more changes or stressors you experience, the more likely you are to get sick.

  • 0-150 Low to moderate stress. If your score is below 150 you are less likely to suffer the effects of cumulative stress. You may want to learn and apply stress management and stress reduction strategies in order to prevent the negative consequences of stress build-up. Individuals with a low stress tolerance, however, may find themselves over stressed even with a score of 150.
  • 150-249 Moderate Stress. If your score is 150-300 you may be suffering from chronic stress, depending on how you have been able to deal with the stressful situations that have been in your life. Stress is the number one cause of illness and disease. If you have scored in this range, you may want to learn and apply stress reduction and management strategies in order to prevent the negative consequences of stress build-up.
  • 250-299 High Stress. If your score is 250-299, it is recommended that you take prompt action to reduce your stress to prevent the development of possible serious illness. Sustained or acute stress plays a major role in the development of serious illness, as well as in the development of stress, anxiety, and sleep disorders.
  • 300 and above Very high stress. If your score is above 300 you are probably suffering from some of the detrimental effects of stress. These include, but are not limited to: physical illness (can be chronic or severe), poor sleep patterns, increased irritability or difficulty controlling anger, difficulty in concentration, depression, anxiety, panic, obsessive thinking or acting, family problems, behavioral problems with children, increasingly dysfunctional relationships, indecision that interferes with your successful functioning, or job difficulties.

Developed by Thomas Holmes and Richard Rahe. Homes-Rahe Social Readjustment Rating Scale, Journal of Psychosomatic Research. Voll II, 1967.