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Somatic Adaptation Rating Scale3

Somatic Adaptation Rating Scale Test

With 17 questions and an estimated completion time of four minutes, the Somatic Adaptation Rating Scale Test explores recurring bodily discomfort and related symptom history. Your result indicates a level of adaptation, helping you reflect on patterns of physical complaints and decide what areas may deserve closer attention.

Questions: 174 minutes

Somatic Adaptation Rating Scale Test: agreement scale card

October 2, 2025October 2, 2025Material has been updatedOctober 2, 2025Material has been published

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Scale Explorer

How the Scales are Structured

Somatic Adaptation LevelSAL

Measures how frequently a person reports distressing bodily complaints that reflect reduced somatic adaptation to stress.

example score55/68

55/68Very low adaptationexample score

0 – 21High adaptation

22 – 31Low adaptation

32 – 68Very low adaptation

A score of 55 falls in the Very low adaptation range, indicating frequent and pronounced somatic complaints consistent with markedly reduced physical adaptation resources.

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DATA-BASED USER COHORTS

Who Usually Takes This Test?

Stress-Related Body Complaints

41%OF USERS

People who notice headaches, fatigue, stomach issues, sleep problems, or tension that seems to worsen during stressful periods.

Clients in Therapy Monitoring

34%OF USERS

People already working with a psychologist who want to track how their physical well-being changes over the course of counseling.

High-Demand Professionals

25%OF USERS

People in intense jobs or study schedules who want a quick check of how chronic workload is affecting their body’s adaptation.

BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.

Benchmarking

See How You Compare

Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.

Shaded area — where most people score

Dot — the average

You — your score lands on each curve after the test— your score, after the test

Level of somatic adaptationLosa

You?

Average26.2

Typical rangeTypical13.8 – 38.5

Possible0 – 68

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SAMPLE QUESTIONS

Example Questions From the Test

This questionnaire refers to experiences that may occasionally occur in any healthy person. If you believe that the experience is present now and, as far as you can remember, it has also occurred at times in the past—whether frequently or rarely, during illness or in other situations—select “PRESENT AND HAS ALWAYS BEEN PRESENT.” If you believe that the experience is present now, but you remember that it was not present previously, then depending on its duration select “PRESENT FOR A LONG TIME” or “APPEARED RECENTLY” (if the experience has occurred only during the past 1–2 years and was not present before). If you remember that this experience occurred at some point in the past, at least once (in childhood or during illness), but it is not present now, select “WAS PRESENT IN THE PAST, BUT NOT NOW.” If you believe that you have never had this experience, or you do not understand what is being referred to, select “NOT PRESENT AND HAS NEVER BEEN PRESENT.”

- Present and has always been present
- Present for a long time
- Appeared recently
- Was present in the past, but not now
- Not present and has never been present
- Present and has always been present
- Present for a long time
- Appeared recently
- Was present in the past, but not now
- Not present and has never been present
- Present and has always been present
- Present for a long time
- Appeared recently
- Was present in the past, but not now
- Not present and has never been present

These are 3 of the 17 real questions — the rest appear in the test. No sign-up needed to start.

WHAT THE TEST MEASURES

Somatic Adaptation Rating Scale Test - Description and methodology of the test

somatics

People who notice recurring physical discomfort, changing symptoms, or a long history of bodily complaints may use the Somatic Adaptation Rating Scale Test to organize those experiences. It focuses on patterns of adaptation rather than naming a disease. The result from this somatic adaptation assessment can clarify whether reported complaints fall within a higher, lower, or very low adaptation range. It is a prompt for reflection and informed follow-up.

What This Assessment Explores

These questions survey bodily discomfort across digestive, cardiovascular, respiratory, urinary, neurological, musculoskeletal, skin, allergic, dental, and general well-being domains. They also distinguish complaints that are longstanding, recent, resolved, or absent, so the result reflects symptom history as well as current experience. As a somatic adaptation scale, it assesses how frequently complaints of bodily discomfort and suffering occur rather than identifying a medical cause.

The result is presented on Somatic Adaptation Level (0-68), with three bands:

High adaptation (0-21) is a displayed band for bodily discomfort and suffering.
Low adaptation (22-31) is another displayed band for the same measure.
Very low adaptation (32-68) may indicate risk for somatic or psychosomatic disorders.

This format supports reflection on recurring physical experiences. Read each band with the person’s symptoms and context.

Methodology and Scientific Basis

Each item in this somatic adaptation questionnaire names a bodily symptom or discomfort and offers five temporal-status responses: present and always present, present for a long time, appeared recently, was present in the past but not now, or not present and never present. This format records the timing and present status of each complaint.

The questionnaire converts responses into one displayed score using its own scoring scheme; the item wording does not reveal how many points each option contributes. Read the displayed result according to the displayed bands, rather than inferring a point rule from the score range.

The closest named source is Somatic Adaptation Rating Scale (Gurvich, 1999), considered alongside Gurvich’s 1992 Neuropsychic Adaptation Test and the Holmes-Rahe Social Readjustment Rating Scale. The questionnaire is conceptually consistent with these works, but is not thereby a direct adaptation of them.

Current illness, memory, attention, expectations, and willingness to report can influence this self-report result.

Author: Richard H. Rahe, Thomas H. Holmes

Literature:

Gurvich, I. N. (1999). Social Psychology of Health. St. Petersburg: St. Petersburg University Press. 1023 pp. ISBN 5-288-02260-7.
Gurvich, I. N. (1992). Neuropsychic Adaptation Test. Bulletin of Hypnology and Psychotherapy, no. 3, pp. 46-53.
Holmes, T. H., & Rahe, R. H. (1967). The Social Readjustment Rating Scale. Journal of Psychosomatic Research, 11(2), 213-218. 10.1016/0022-3999(67)90010-4

Updated: 2025-10-02