Answer yes or no to the following questions about stressful events. Have you broken off a committed relationship, divorced or separated within the past 12 months?
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Do you dread going to work more days than not?
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Do you have a current or unresolved conflict with a neighbor?
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Do you have a current or unresolved conflict with a co-worker or your supervisor?
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Do you have a current or unresolved conflict with a family member?
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Have you moved within the past six months, or are you planning a move?
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Have you borrowed money to cover expenses or debt?
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Have you increased your credit card debt in the past six months?
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Do you have a new baby, have you recently adopted or are you currently planning an adoption?
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Has a parent, spouse or child died within the past year?
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Do you or a parent, loved one, or child have a serious illness?
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Are you currently working more than 50 hours per week?
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Do you sleep less than six hours per night on at least three nights each week?
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Assessment End
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