Perceived Stress Scale_BS

OMB Control #: 1103-XXXX
OMB Expiration Date: XX/XX/XXXX

Percieved Stress Scale
PSS - BSL
August 2012

Baseline

ID#

1. In the last month, how often have you been upset because of something that happened
unexpectedly?
Never
Almost Never
Sometimes
Fairly Often
Very Often
2. In the last month, how often have you felt that you were unable to control the important
things in your life?
Never
Almost Never
Sometimes
Fairly Often
Very Often
3. In the last month, how often have you felt nervous and "stressed"?
Never
Almost Never
Sometimes
Fairly Often
Very Often
4. In the last month, how often have you dealt successfully with irritating life hassles?
Never

Almost Never

Sometimes

Fairly Often

Very Often

5. In the last month, how often have you felt that you were effectively coping with
important changes that were occurring in your life?
Never
Almost Never
Sometimes
Fairly Often
Very Often
6. In the last month, how often have you felt confident about your ability to handle
your personal problems?
Never
Almost Never
Sometimes
Fairly Often
Very Often
7. In the last month, how often have you felt that things were going your way?
Never
Sometimes
Almost Never
Fairly Often
Very Often
8. In the last month, how often have you found you could not cope with all the things
that you had to do?
Never
Almost Never
Sometimes
Fairly Often
Very Often
9. In the last month, how often have you been able to control irritations in your life?
Never

Almost Never

Sometimes

Fairly Often

Very Often

10. In the last month, how often have you felt that you were on top of things?
Never
Almost Never
Sometimes
Fairly Often
Very Often
11. In the last month, how often have you been angered because of things that happened that
were outside of your control?
Never
Almost Never
Sometimes
Fairly Often
Very Often
12. In the last month, how often have you found yourself thinking about the things that you
have to accomplish?
Never

Almost Never

Sometimes

Fairly Often

Very Often

13. In the last month, how often have you been able to control the way you spend your time?
Never

Almost Never

Sometimes

Fairly Often

Very Often

14. In the last month, how often have you felt difficulties were piling up so high that you
could not overcome them?
Never

Almost Never

Sometimes

Fairly Often

Very Often
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