To use the questionnaire, print this page. Choose a 6-month or a 1-year timespan of events. Copy the number of Life Change Units (LCU) into the last column. Total the numbers in the last column for your score.

Health	LCU
An illness or injury that kept you in bed for more than a week or sent you to the hospital	74
An illness or injury that was less serious than above	44
Major dental work	26
Major change in eating habits	27
Major change in sleeping habits	26
Major change in your usual type and/or amount of recreation	28

Work	LCU
Change to a new type of work	51
Change in your work hours or conditions	35
More work responsibilities	29
Fewer work responsibilities	21
A promotion	31
A demotion	42
A transfer	32
Trouble with your boss	29
Trouble with your coworkers	35
Trouble with those you supervise	35
Other work troubles	28
Major business readjustment	60
Retirement	52
Laid off	68
Fired	79
Took a course to help your work	18

Home and family	LCU
Move within same city or town	25
Move to different town, city, or state	47
Major change in living conditions	42
Change in family get-togethers	25
Major change in health or behavior of a family member	55
Marriage	50
Pregnancy	67
Miscarriage or abortion	65
Birth of a child	66
Adoption of a child	65
Relative moves in with you	59
Spouse begins or stops work	46
Child leaves home to attend college or for marriage	41
Child leaves home for other reasons	45
Change in arguments with spouse	50
Problems with relatives or in-laws	38
Parents divorce	59
A parent remarries	50
Separation from spouse due to work	53
Separation from spouse due to marital difficulties	79
Divorce	96
Birth of grandchild	43
Death of spouse	119
Death of child	123
Death of parent	100
Death of a brother or sister	102

Personal and social	LCU
Change in personal habits	26
Beginning or ending school	38
Change of school or college	35
Change in political beliefs	24
Change in religious beliefs	29
Change in social activities	27
Vacation	24
New, close personal relationship	37
Engagement to marry	45
Girlfriend or boy friend problems	39
Sexual difficulties	44
An accident	48
"Falling out" of a close personal relationship	47
Minor violation of the law	20
Being held in jail	75
Major decision about immediate future	51
Major personal achievement	36
Death of a close personal friend	70

Financial	LCU
Major loss of income	60
Major increase in income	38
Investment and/or credit difficulties	56
Loss/damage to personal property	43
Major purchase	37
Moderate purchase	20
Foreclosure on mortgage or loan	58

Scoring
Total the scores in the last column.
A 6-month score of 300 or more, or a year score of total of 500 or more, indicates high stress in your life.

To track how stress may fluctuate throughout your life, use this questionnaire over 2 years at 6-month intervals.