1) I am having difficulties.

Never
Rarely
Sometimes
Often
All of the time

2) I have problems with my health.

Never
Rarely
Sometimes
Often
All of the time

3) There is instability in my home.

Never
Rarely
Sometimes
Often
All of the time

4) I have a family member who is seriously ill.

Never
Rarely
Sometimes
Often
All of the time

5) I don't have time to do things simply for pleasure.

Never
Rarely
Sometimes
Often
All of the time

6) Nobody notices when I do a good job.

Never
Rarely
Sometimes
Often
All of the time

7) I feel that I live in a dangerous environment.

Never
Rarely
Sometimes
Often
All of the time

8) I am worried about the security of my job.

Never
Rarely
Sometimes
Often
All of the time

9) I am trying to lose weight.

Never
Rarely
Sometimes
Often
All of the time

10) I don't have enough energy to make it through the day.

Never
Rarely
Sometimes
Often
All of the time