“Holmes-Rahe Life Events Survey”
Print this page and take the survey.

Instructions- Please check the life events that have occurred during the previous two years. Then circle the mean value for each item checked, and all mean values for a total score. If an event has occurred more than once, multiply the number of occurrences by its mean value. Thus, if you were divorced twice during the two year period, then the score for “Divorce” is 2 x 73 = 146.

Rank Life Event Mean Value # of Occurrences Total Scores

1 Death of a spouse 100 x __________ = __________

2 Divorce 73 x __________ = __________

3 Marital separation 65 x __________ = __________

4 Jail term 63 x __________ = __________

5 Death of a close family member 63 x __________ = __________

6 Personal injury or illness 53 x __________ = _________

7 Marriage 50 x __________ = __________

8 Fired at work 47 x __________ = __________

9 Marital reconciliation 45 x __________ = _________

10 Retirement 45 x __________ = _________

11 Change in health of a family member 44 x __________ = _________

12 Pregnancy (applies to both spouses) 40 x __________ = _________

13 Sexual difficulties 39 x __________ = _________

14 Gain of a new family member 39 x __________ = _________

15 Business readjustment 39 x __________ = ________

16 Change in financial state 38 x __________ = ________

17 Death of a close friend 37 x __________ = ________

18 Change to different line of work 36 x __________ = _________

19 Change in number of arguments with someone 35 x __________ = _________

20 Mortgage over $10,000 31 x __________ = _________

21 Foreclosure of mortgage or loan 30 x __________ = _________

22 Change in responsibilities at work 29 x __________ = ________

23 Son or daughter leaving home 29 x __________ = ________

24 Trouble with in-laws 29 x __________ = ________

25 Outstanding personal achievement 28 x __________ = ________

26 Spouse began or stopped work 26 x __________ = _______

27 Began or ended schooling 26 x __________ = ________

28 Change of living conditions 25 x __________ = ________

29 Revision of personal habits 24 x __________ = ________

30 Trouble with boss 23 x __________ = ________

31 Change in work hours or conditions 20 x __________ = ________

32 Change in residence 20 x __________ = ________

33 Change in schools 20 x __________ = _______

34 Change in recreation 19 x __________ = _______

35 Change in church activities 19 x __________ = _______

36 Change in social activities 18 x __________ = _______

37 Mortgage or loan less than $10,000 17 x __________ = _______

38 Change in sleeping habits 16 x __________ = _______

39 Change in number of family get-togethers 15 x __________ = _______

40 Change in eating habits 15 x _________ = _______

41 Vacation 13 x _________ = _______

42 Christmas 12 x _________ = _______

43 Minor violations of the law 11 x _________ = _______

Other events not listed Stress Points Your Tally

44 ____________________ _______________ ______________

45 ____________________ _______________ ______________





Scoring:

100-200: This score shows a low degree of vulnerability to stressors. If you find yourself bored, irritable and easily distracted, you might wish to add some new challenges to your life. Time to take up a new hobby or learn something new.

201-275: This score shows a moderate vulnerability to stressors. You probably find life interesting, challenging and active most of the time. You may feel bored at times, stressed at other times. Your stress level is average.

276-400: This score shows a high degree of vulnerability to stressors. You have experienced a lot of change these past two years. If you are feeling very stressed, your point tally shows the reason. Physical activity, proper nutrition and light and sound relaxation sessions could help you learn to manage your stress level.