Teen Stress Survey
Please indicate your gender
Female
Male
Other
Please indicate your age
In last month how often have you been upset because of something that happened unexpectedly?
Never
Almost never
Sometimes
Fairly often
Very often
In the last month, how often have you felt that you were unable to control important things in your life?
Never
Almost never
Sometimes
Fairly often
Very often
In the last month, how often have you felt nervous and 'stressed'?
Never
Almost never
Sometimes
Fairly often
Very often
In the last month, how often have you felt confident about your ability to handle your personal problems?
Never
Almost never
Sometimes
Fairly often
Very often
Who are the people in your life that cause you the most stress?
Partner
Co-worker
Family
Friends
Other
What activities, event(s), or daily expectations, in your life cause you the most stress?
What does stress look like or feel like?
Headache
Moody
Agitated
Frustrated
Low self-esteem
Lonely
Worthless
Depressed
Fear
Pain
What do you do to relieve stress?
What can adults do to help lesson or eliminate teen stress?
Any further notes
Submit
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