Stress Management Survey

Taking a stress management survey is one of the first steps in becoming self-aware of ALL the ways that stress impacts your life.

Stress effects the BEST in who you are...your thoughts, physical body, emotions, and spiritually.

From a holistic perspective, spirituality can be thought of in this way, “How congruent your actions and behaviors are in relationship to who you believe yourself to be at your core.”

Taking the survey

Without any judgments, place a check next to each of the ways you feel you are being impacted by stress.

Control My Stress - Self Awareness Survey

First Name*
E-mail Address*
Over the past 6 months, place a check next to ALL the ways stress has impacted you - Physically?
High blood pressure
More muscle aches and pains
Poor eating habits
Stomach problems
Trouble sleeping
Tired all the time
Sick more often
Over the past 6 months, place a check next to ALL the ways stress has impacted you - Emotionally?
I am more moody
I am more irritable
I am more anxious
I am more depressed
I get angry more often
I cry more often
I can't control my emotions
I'm withdrawing from others
I'm less tolerant of others
Over the past 6 months, place a check next to ALL they ways stress has impacted you - Spiritually?
I judge others more often
I gossip about others more
I belittle others more often
I yell at others more often
I am more critical of others
There is more shame in my voice
I let arguments get out of control
Over the past 6 months, place a check next to ALL the ways stress has impacted - What you think about?
I think about worst case scenarios
I worry about providing for my family
I worry about being laid off
I'm more pessimistic about life
I worry I won't find a job
I have trouble concentrating
I have more negative self-talk
Would you like me to contact you about your results?

Please enter the word that you see below.


Analyzing the survey

1-3 checked boxes:
  • While there is some concern, your stress has probably not become chronic yet.
  • Now would be the time to integrate some stress relaxation techniques that will work for your life.

3-5 checked boxes:
The stressors of life are beginning to take control over your life. It is time to think about seeking help before your stress gets worse.
  • There is a good chance that your stress is becoming chronic.
  • NOW would be the time to focus on some simple ways that will create more balance for your body throughout each day.

5 or more checked boxes:
We definitely need to talk about how to manage your stress NOW before things get worse.
  • It looks like your stress has become chronic.
  • The unmanaged stress is starting to take a toll on ALL of who you are.
  • The body has amazing healing capacities when given the chance. It is important to create those opportunities as soon as possible.

Stress Management Survey Contact Banner - Click Here

Let's talk

If you are yearning to "feel like your old self" again.

Or, if you are struggling with regaining control over the impact of chronic stress:
  • Chronic headaches
  • Neck and back pains
  • Muscle tension
  • High blood pressure
  • Cardiovascular disease
  • Arthritis
  • Elevated heart rate
  • Insomnia
  • Fatigue
  • Dizziness
  • Nausea
  • Depression
  • Anxiety
  • anger
  • moody
Then, click on Control My Stress to explore some options that CAN help you to reduce your stress.

For more information, please see:

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Pay it forward!

There a lot of people who have become overwhelmed by stress and how to get rid of it. I can understand this feeling. But it does not mean that good information is NOT out there. It is.

Please help a friend or loved one by sharing this information with them. Email this link to them or submit this page to your Tweet account, or Facebook or your favorite social bookmarking or networking site. Use the links below to pay it forward.

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Stress Tip Of The Day!

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“Ms. Churchill is the unique health care worker everyone hopes to encounter, but rarely does. She has an extraordinary gift that allows her to do much more than diagnose and treat.”
Abbie K. – Minneapolis

K., age 45, is a long term chronically PTSD disabled patient. She has had daily headaches for 20 years. Two weeks ago she reported that she had had 4 days of pain free time, and was having the exceedingly odd sensation of "smiling all the time". She and Cathi have made extraordinary fast progress together.
Dr. Cole

I referred C.L., age mid-forties, to see Cathi after a life of suffering the post traumatic stress disorder of parental sexual abuse over many years of her childhood, with major dysfunctions of alcohol and drug abuse, and with the disabling symptoms of migraine that have for more than twenty years become chronic.

She has lived with daily headaches that have not responded to any of the several drugs which have benefited many such suffering patients. She has needed chronic opiate treatment of her chronic pain syndrome.

In the few weeks that Cathi has worked with her, C.L. has begun to experience days without pain, periods of happiness, and a reduction in her opiate dosage requirements that represent a breakthrough in her stalled-out life as a single mom raising a teen-age daughter with only social security income resources.
Dr. Racer

“I first met Cathi Churchill eight years ago when she effectively helped my work unit through the stress of a hospital-wide layoff. I was impressed with her clear-minded approach and willingness to listen.”
Andy R.

N., age 60, is a hard driving attorney twenty year patient of mine who hit the wall with chronic fatigue four years ago, and began to realize she had to learn to rest. She recovered enough to return to her workaholic lifestyle when she was stopped by a herniated cervical disc and resumption of her chronic colitis.

Working with Cathi, she is discovering "the way she does life" and learning to make choices about it. She came in last week, having "danced until dawn". She is learning to dialogue with her body in effective ways.
Dr. Cole

“I stumbled upon Cathi after my recent heart attack that was brought on by stress. I was scared of having another one, and didn’t know what to do. I had lost hope. Working with her has changed my life. I’m so grateful."
Debbie – Canada

M.S., a woman in her late forties with progressively more and more disabling rheumatoid arthritis since childhood, whose most recent problems have arisen over the last two to three years as complications of immunosuppressive therapy for her disease. The complications have been associated with the severely disabling chronic pain of recurrent herpes neuralgia for more than three years, and for the past 15 months, recurrent osteomyelitis in her right lower mandible.

The second, more alarming (even life-threatening) problem has caused months of diagnostic and therapy confusion among her many consultants, three successive resections of the bone over the last six to eight months, and the still ongoing threat of more relapses of the smoldering bone infection and chronic pain only made bearable by chronic, massive doses of opiates.

In the few months since M. began to work with Cathi with several modalities: stress management, therapeutic touch, guided imaging, and others, her life has become more livable, as she has become able to bear the pain and the discouragement of unresolved disease.

She has relied on many of the methods for maintaining hope and getting through overwhelming discouragement by using the inner resources she has learned with Cathi.

My hope as her primary physician, is that Cathi and M. will be able to continue to work together to maintain that inner strength and hope as she faces yet more months of pain, and further repeated surgery.

Thank you for the healing guidance you've been able to give her thus far.
Dr. Racer

“I sought out the help of Cathi during my divorce, and found her to be an insightful and compassionate coach. Her ability to see deep into the heart of an emotionally stressful problem is, I believe, unique and I would highly recommend her service to anyone.”
P.R. – Brooklyn Center

S., age 48, is a Laotian patient of mine with 15 years of chronic abdominal pain. She has had an extensive medical worked up, and nothing ever worked. Cathi saw her over several months.

S. has improved! Cathi established a trusting relationship with her, and helped her to effectively break through her wall of silence and grief about her son's mental illness, and taught her how to "change her thinking".

S. now comes in smiling, notes some unusual continued symptoms, but no longer has chronic abdominal disabling pain.
Dr. Cole

“Control My Stress is so amazing. I want to thank you, again, for such a valuable resource.”

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