Response Scale

For each item, please select the option that best describes your experience in the past 24 hours.

• X = Did not occur
• 1 = Occurred but was not stressful
• 2 = Caused very little stress
• 3 = Caused a little stress
• 4 = Caused some stress
• 5 = Caused much stress
• 6 = Caused very much stress
• 7 = Caused me to panic

Response Scale

Indicate the extent you have felt this way over the past week.

• 1 = Very slightly or not at all
• 2 = A little
• 3 = Moderately
• 4 = Quite a bit
• 5 = Extremely