Grade 11 Healthy Active Living Education Additional Supports ...

7. In a stressful
situation
I cannot
concentrate
easily
1 2 3 4 5 6 7 I can concentrate easily
8. I am fearful all the time 1 2 3 4 5 6 7 never
9. When I need to stand I cannot do 1 2 3 4 5 6 7 I can do it easily
up for myself
it
10. I feel less than
adequate in most
situations
11. During times of
stress, I feel isolated
and alone
12. In really difficult
situations
13. When I need to
relax
14. When I am in a
frightening situation
15. I worry about the
future
agree
strongly
agree
strongly
I feel
unable to
respond in
positive
ways
I
experience
no peace Ð
only
thoughts
and worries
1 2 3 4 5 6 7 disagree strongly
1 2 3 4 5 6 7 disagree strongly
1 2 3 4 5 6 7 I feel able to respond in
positive ways
1 2 3 4 5 6 7 I experience a
peacefulness free of
thoughts and worries
I panic 1 2 3 4 5 6 7 I remain calm
all the time 1 2 3 4 5 6 7 never
Scoring
The number you circled is your score for the question. Add your scores in each of the
two sections and divide each sum by the number of questions in the section.
• Life Purpose and Satisfaction: __________ divide by 17 = ________.______
• Self-Confidence During Stress: __________ divide by 15 = ________.______
• Combined Well Being:
(add scores for both) ___________ divide by 32 = _________._____
Each score should range between 1.00 and 7.00 and may include decimals (for example 5.15).
Interpretation:
VERY LOW: 1.00 TO 2.49
MEDIUM LOW: 2.50 TO 3.99
MEDIUM HIGH: 4.00 TO 5.49
VERY HIGH: 5.50 TO 7.00
Grade 11 Healthy Active Living Education (PPL30), Module #2 Positive Mental Health and Stress
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