Stress Symptoms Checklist

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STRESS SYMPTOMS CHECKLIST

Check all the reactions to stress that you have experienced in the past month.

_____ Sore Muscles _____ High blood pressure


_____ Backaches _____ Tightness/pain in chest
_____ Aches/Pains _____ Dizziness
_____ TMJ _____ Dry mouth
_____ Headaches _____ Lump in throat
_____ Grind teeth _____ Sweating
_____ Can’t sleep _____ Nail biting
_____ Wake up in the middle of the night _____ Accident prone
_____ Wake up early _____ Foot-tapping/finger drumming
_____ Want to sleep all the time _____ Lack of sex drive
_____ Colds/flu _____ Easily angered
_____ Cold sores _____ Depressed
_____ Can’t eat _____ Sad
_____ Always hungry _____ Anxious
_____ Can’t concentrate _____ Moody
_____ Drinking/smoking more _____ Feeling lost/empty
_____ Upset stomachs _____ Worry
_____ Constipation/diarrhea _____ Frustrated
_____ Nausea _____ Overreacting
_____ Cold hands/feet _____ Daydreaming
_____ Hives _____ Can’t get started
_____ Fatigue _____ Forgetful
_____ Trembling _____ Negative self talk
_____ Pounding heart _____ Don’t want to go home at night
_____ Stuttering

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