Tzara O’Donnell

Dr. Roop
Psychology 1101
20 October 2022

Stress Response Survey

Cardiovascular: Skin:
0 - Heart pounding 5 - Acne
4 - Heart racing or beating erratically 0 - Dandruff
0 - Cold, sweaty hands 5 - Perspiration
4 – Headaches 3 – Excessive dryness of
8 – Subtotal skin/hair
13 - Subtotal
Respiratory: Immunity:
2 – Rapid, erratic, or shallow breathing 2 – Allergy flare-ups
5 – Shortness of breath 2 – Catching colds
0 – Asthma attack 2 – Catching the flu
3 – Difficulty speaking because of poor breathing 0 – Skin rash
control
Subtotal – 10 Subtotal - 6
Gastrointestinal: Metabolic:
5 – Upset stomach, nausea, or vomiting 3 – Increased appetite
2 – Constipation 5 – Increased craving for
4 – Diarrhea tobacco or sweets
3 -Sharp abdominal pain 5 – Thoughts racing
Subtotal – 14 or difficulty sleeping
4 – Feelings of crawling
anxiety/nervousness
Subtotal - 17
Muscular: Overall total: 77
4 – Headaches
5 – Back/shoulder pain
0 – Muscle tremors/hands shaking
0 – Arthritis
Subtotal – 9