Holmes and Rahe Stress Scale, SRRS Test - the question form
Questions: 43 · 8 minutes
Select Questionnaire Type
Male form
Female form
1. Death of a spouse.
1 – Did not occur
2 – Occurred
2. Divorce.
Did not occur
Occurred
3. Marital separation without legal divorce; separation from a partner.
1 – Did not occur
2 – Occurred
4. Jail or prison sentence.
1 – Did not occur
2 – Occurred
5. Death of a close family member.
Did not occur
Occurred
6. Personal injury or illness.
1 – Did not occur
2 – Occurred
7. Marriage.
Did not occur
Occurred
8. You were fired from your job.
1 – Did not occur
2 – Occurred
9. Reconciliation with spouse after separation.
Did not occur
Occurred
10. Retirement.
Did not occur
Occurred
11. Change in health of a family member.
Did not occur
Occurred
12. Partner's pregnancy.
1 – Did not occur
2 – Occurred
13. Sexual difficulties.
Did not occur
Occurred
14. Addition of a new family member (birth of a child, a relative moved in with you).
Did not occur
Occurred
15. Reorganization at work.
1 – Did not occur
2 – Occurred
16. Major change in financial status (better or worse).
1 – Did not occur
2 – Occurred
17. Death of a close friend.
1 – Did not occur
2 – Occurred
18. Change in line of work or change of job.
Did not occur
Occurred
19. Change in the frequency and intensity of arguments/disagreements with spouse.
1 – Did not occur
2 – Occurred
20. Loan or credit for a major purchase (e.g., a mortgage).
1 – Did not occur
2 – Occurred
21. Missed payments on loans or a mortgage, or increasing debt.
1 – Did not occur
2 – Occurred
22. Change in job responsibilities (promotion, demotion, or transfer to another department).
1 – Did not occur
2 – Occurred
23. Son or daughter moved out of your home.
Did not occur
Occurred
24. Trouble with spouse’s relatives.
1 – Did not occur
2 – Occurred
25. Outstanding personal achievement.
Did not occur
Occurred
26. Spouse started a job or left a job.
1 – Did not occur
2 – Occurred
27. Beginning or ending education at a school or educational institution.
1 – Did not occur
2 – Occurred
28. Change in living conditions without moving (e.g., renovation, remodeling, or deterioration in housing).
1 – Did not occur
2 – Occurred
29. Revision of personal habits (a change in clothing style, behavior, social circle, or hobbies).
1 – Did not occur
2 – Occurred
30. Problems with your supervisor; work-related conflicts.
Did not occur
Occurred
31. Change in work conditions or work schedule.
1 – Did not occur
2 – Occurred
32. Change in residence.
Did not occur
Occurred
33. Child changed place of study or school.
1 – Did not occur
2 – Occurred
34. Change in the usual frequency or length of vacations.
1 – Did not occur
2 – Occurred
35. Change in religious practices (started or stopped attending religious services).
Did not occur
Occurred
36. Major change in social activities (seeing friends, going to the movies, entertainment).
Did not occur
Occurred
37. Took out a loan or credit (not a mortgage, e.g., for a car or household appliances).
Did not occur
Occurred
38. Major change in sleeping habits (sleeping much more or much less, or a shift in sleep schedule).
1 – Did not occur
2 – Occurred
39. Major change in the nature and frequency of family gatherings and shared celebrations.
1 – Did not occur
2 – Occurred
40. Major change in eating habits (eating more or less, at different times, or in different places).
1 – Did not occur
2 – Occurred
41. Vacation.
1 – Did not occur
2 – Occurred
42. Organized a celebration for New Year’s or a birthday.
1 – Did not occur
2 – Occurred
43. Minor violation of the law (e.g., a traffic ticket).
1 – Did not occur
2 – Occurred
1. Death of spouse.
1 – Did not occur
2 – Occurred
2. Divorce.
1 – Did not occur
2 – Occurred
3. Marital separation without legal divorce, or breakup with a partner.
1 – Did not occur
2 – Occurred
4. Jail term.
1 – Did not occur
2 – Occurred
5. Death of a close family member.
Did not occur
Occurred
6. Serious personal injury or illness.
Did not occur
Occurred
7. Marriage.
1 – Did not occur
2 – Occurred
8. You were fired from your job.
1 – Did not occur
2 – Occurred
9. Reconciliation with spouse after separation or a breakup.
1 – Did not occur
2 – Occurred
10. Retirement.
1 – Did not occur
2 – Occurred
11. Change in the health status of a family member.
Did not occur
Occurred
12. Pregnancy.
1 – Did not occur
2 – Occurred
13. Sexual difficulties.
1 – Did not occur
2 – Occurred
14. New family member (e.g., birth of a child, a relative moved in).
1 – Did not occur
2 – Occurred
15. Reorganization at work.
1 – Did not occur
2 – Occurred
16. Major change in financial status (for better or worse).
Did not occur
Occurred
17. Death of a close friend.
Did not occur
Occurred
18. Change in type of work; change of job.
Did not occur
Occurred
19. Change in the frequency and intensity of arguments/disagreements with spouse.
1 – Did not occur
2 – Occurred
20. Loan or credit for a very major purchase (e.g., a mortgage).
1 – Did not occur
2 – Occurred
21. Missed payments on loans or a mortgage; increasing debt.
1 – Did not occur
2 – Occurred
22. Change in job responsibilities (promotion, demotion, or transfer to another department).
1 – Did not occur
2 – Occurred
23. A son or daughter moved out of your home.
Did not occur
Occurred
24. Trouble with your spouse’s relatives.
1 – Did not occur
2 – Occurred
25. Outstanding personal achievement
Did not occur
Occurred
26. Spouse started a new job or lost a job.
Did not occur
Occurred
27. Beginning or ending education at a school or educational institution.
1 – Did not occur
2 – Occurred
28. Change in living conditions without moving (e.g., renovation, remodeling, or deterioration of housing conditions).
Did not occur
Occurred
29. Revision of personal habits (change in style of dress, behavior, social circle, or hobbies).
1 – Did not occur
2 – Occurred
30. Problems with your supervisor; conflicts at work.
1 – Did not occur
2 – Occurred
31. Change in work conditions or work schedule.
Did not occur
Occurred
32. Change of residence.
1 – Did not occur
2 – Occurred
33. Change in a child's school or place of study.
Did not occur
Occurred
34. Change in the usual frequency and/or length of vacations.
1 – Did not occur
2 – Occurred
35. Change in religious practices (e.g., began or stopped attending religious services).
Did not occur
Occurred
36. Major changes in social activities (seeing friends, going to the movies, recreation).
1 – Did not occur
2 – Occurred
37. Taking out a loan or credit (not a mortgage, e.g., for a car or household appliances).
1 – Did not occur
2 – Occurred
38. Major change in sleeping habits (more or less sleep, change in sleep schedule).
Did not occur
Occurred
39. Major change in the frequency and nature of family gatherings and shared celebrations.
Did not occur
Occurred
40. Major change in eating habits (eating more or less, at different times, or in different places).
Did not occur
Occurred
41. Vacation.
1 – Did not occur
2 – Occurred
42. Organizing a New Year’s celebration or a birthday celebration.
1 – Did not occur
2 – Occurred
43. Minor violation of the law (e.g., a traffic ticket).
1 – Did not occur
2 – Occurred