During your studies you may somehow experience stress.

How would you rate these sources of stress that may cause
stressful situations at any time during your studies? What do you think is the cause of stress during your studies?

The following questionnaire is designed to provide you with an indication of the extent to which various individual level
stressors are sources of the stress to you. For each item, you should indicate the frequency with which the condition
described in a source of stress. Next to each item, please write the appropriate number (1-5)

Please encircle the one of the numbers opposite each of the statements that follows.

Note: 0= not at all 3= to a great extent

1= to a little extent 4= to a very great extent
2= to a moderate extent

1. Difficulty in making friends (I) 0 1 2 3 4

2. Classroom set-up (E) 0 1 2 3 4
3. Missed some of my classes (A) 0 1 2 3 4
4. Move to a new school 0 1 2 3 4
5. Having low-self esteem due to physical appearance 0 1 2 3 4
6. Not well-ventilated classroom 0 1 2 3 4
7. Separation of parents (P) 0 1 2 3 4
8. Frustrations due to misunderstandings with other people 0 1 2 3 4
9. Change in eating habits 0 1 2 3 4
10. Lack of moral support from the college department faculty 0 1 2 3 4
11. Bad living conditions 0 1 2 3 4
12. Having intimate relationship 0 1 2 3 4
13. Language/ communication difficulties 0 1 2 3 4
14. No enough space or area to study and to make requirements 0 1 2 3 4
at home
15. Roommate conflict 0 1 2 3 4
16. Death of family member/ loved one 0 1 2 3 4
17. Living independently or living far from family 0 1 2 3 4
18. No computer to use in making requirements 0 1 2 3 4
19. Health problems/having an illness 0 1 2 3 4
20. Upcoming Mid-term and Final Examinations 0 1 2 3 4
21. Fear of failure 0 1 2 3 4
22. Lots of school requirements need to pass 0 1 2 3 4
23. Working with people you don’t know 0 1 2 3 4
24. Financial difficulties 0 1 2 3 4
25. Staying late doing school requirements 0 1 2 3 4
26. Withdrawal from alcohol/ cigarettes 0 1 2 3 4
27. Lower grades than anticipated 0 1 2 3 4
28. Family problem 0 1 2 3 4
29. Placed in unfamiliar situation 0 1 2 3 4
30. Lack of social contacts 0 1 2 3 4
31. Increased class workload/ units taken are overload 0 1 2 3 4
32. Fight with boyfriend /girlfriend 0 1 2 3 4
33. Combining job with studies 0 1 2 3 4
34. Family and society expectations from you 0 1 2 3 4
35. Noisy learning environment 0 1 2 3 4
36. Maintaining grades/retention policy 0 1 2 3 4
37. Scarce and expensive transportation service 0 1 2 3 4
38. Difficulty in dealing with others 0 1 2 3 4
39. Assigned as leader of the group 0 1 2 3 4
40. Messy living condition. 0 1 2 3 4

PERSONAL INFORMATION (IMPORTANT)

Name: (optional)
Gender: FEMALE MALE
Program: BEED BSED BPED
Address :___________________________________________________________________________________
 Coding:

Interpersonal: (1,8,12,15,23,30,32,34,38,39)

Personal (5,7,9,16,19,21,24,26,28,33)

Academic (31, 27,18,13,10, 20, 22, 25, 3,36)

Environmental (2, 4, 14 , 11, 6, 29, 17, 35, 40, 37)