Holmes And Rahe Stress Scale Template

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• YOU MAY PRINT AND COPY AND USE THIS HANDOUT FOR YOUR PERSONAL OR PROFESSIONAL USE • AS IS • AS FREELY AS YOU WISH •
HOLMES AND RAHE STRESS SCALE
Holmes and Rahe found that a score of 150 gives you a 50-50 chance of developing an illness. A score of
300+ gives you a 90% chance of developing an illness, having an accident or "blowing up". Notice that
"positive times" like Christmas, marriage and vacations are stressful.
multiply event by the number of times you have experienced it in the last year
LIFE EVENT (STRESSOR)
VALUE #/YR
TOTAL
1 DEATH OF SPOUSE
100 X ____ = _____
2 DIVORCE
73 X ____ = _____
3 MARITAL SEPARATION
65 X ____ = _____
4 JAIL TERM
63 X ____ = _____
63 X ____ = _____
5 DEATH OF CLOSE FAMILY MEMBER
53 X ____ = _____
6 MAJOR PERSONAL INJURY OR ILLNESS
50 X ____ = _____
7 MARRIAGE
8 FIRED FROM WORK
47 X ____ = _____
9 MARITAL RECONCILIATION
45 X ____ = _____
10 RETIREMENT
45 X ____ = _____
11 MAJOR CHANGE IN HEALTH OF FAMILY MEMBER
44 X ____ = _____
40 X ____ = _____
12 PREGNANCY
39 X ____ = _____
13 SEX DIFFICULTIES
39 X ____ = _____
14 GAIN OF NEW FAMILY MEMBER
39 X ____ = _____
15 MAJOR BUSINESS READJUSTMENT
16 MAJOR CHANGE IN FINANCIAL STATE
38 X ____ = _____
17 DEATH OF CLOSE FRIEND
37 X ____ = _____
18 CHANGE TO DIFFERENT LINE OF WORK
36 X ____ = _____
19 MAJOR CHANGE IN NUMBER OF ARGUMENTS WITH SPOUSE
35 X ____ = _____
31 X ____ = _____
20 MORTGAGE OVER $100,000
30 X ____ = _____
21 FORCLOSURE OF MORTAGE OR LOAN
29 X ____ = _____
22 MAJOR CHANGE IN RESPONSIBILITIES AT WORK
23 SON OR DAUGHTER LEAVING HOME
29 X ____ = _____
24 TROUBLE WITH IN-LAWS
29 X ____ = _____
25 OUTSTANDING PERSONAL ACHIEVEMENT
28 X ____ = _____
26 SPOUSE BEGINS OR STOPS WORK
26 X ____ = _____
27 BEGIN OR END SCHOOL
26 X ____ = _____
25 X ____ = _____
28 MAJOR CHANGE IN LIVING CONDITIONS
24 X ____ = _____
29 REVISION OF PERSONAL HABITS
23 X ____ = _____
30 TROUBLE WITH BOSS
31 MAJOR CHANGE IN WORK HOURS OR CONDITIONS
20 X ____ = _____
32 CHANGE IN RESIDENCE OR SCHOOLS
20 X ____ = _____
33 MAJOR CHANGE IN RECREATION
19 X ____ = _____
34 MAJOR CHANGE IN CHURCH ACTIVITIES
19 X ____ = _____
18 X ____ = _____
35 MAJOR CHANGE IN SOCIAL ACTIVITIES
17 X ____ = _____
36 MORTGAGE OR LOAN LESS THAN $10,000
16 X ____ = _____
37 MAJOR CHANGE IN SLEEPING HABITS
15 X ____ = _____
38 MAJOR CHANGE IN NUMBER OF FAMILY GET-TOGETHERS
39 MAJOR CHANGE IN EATING HABITS
15 X ____ = _____
40 VACATIONS , CHRISTMAS
13 X ____ = _____
41 MINOR VIOLATIONS OF THE LAW
11 X ____ = _____
YOUR TOTAL ____________
OPINIONS
AND FEELINGS ARE FREQUENTL Y A
PERSONAL TRIUMPH
OVER
GOOD
THINKING
YOU DEFINE REALITY BY WHAT YOU KNOW, WHAT YOU BELIEVE, AND WHAT YOU DO ABOUT IT .
R&M SEMINARS
• • R&M SEMINARS • RELATIONSHIP & MANAGEMENT • LEWIS QUINBY LCSW • 1671 MYRTLE AVE • EUREKA CA 95501 • (707) 443-3637 •

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