Life Balance Inventory
Demographic Info
About You
Gender *
Race or Ethnicity *
Age *
Height * feet    inches
Weight * pounds
Do you have a medical condition that limits physical activity (hypertension, diabetes, arthritis, etc.)? *
If yes, please specify:
Marital status
Number of children
Number of children living with you
Education
Annual income *
Employment *
Type of work
Type of responsibilities
State or Province
City size
Housing type
Housing ownership
Survey key
* Required field

Perceived Stress
The questions below ask you about your feelings and thoughts during the last month. In each case, please indicate how often you felt or thought a certain way.

1. In the past month, how often have you felt that you were unable to control the important things in your life?


2. In the past month, how often have you felt confident about your ability to handle your personal problems?


3. In the last month, how often have you felt things were going your way?


4. In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?




Copyright © 2009 by Dr. Kathleen Matuska @ St. Catherine University