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Name:

Part I:
What are your top three stressors? List them in the far left column.
How does each stressor make you Think (cognition)/affect your thoughts? Feel (emotion)? Behave? How does your body react (physiological response)? Answer these questions using the table below.

Top 3 Stressors: Thoughts Feel Behaviors Physiological Responses How I tend to deal with/cope/manage this stressor? Is this working?
1.                                     Yes

No
2.                                     Yes

No
3.                                     Yes

No

Part II.
Choose two different stress management techniques. You may use other resources to help you with ideas on ways to help you cope with stressors in your life. List your two new techniques here:
1.

2.

Now in the next few days, use or practice these two techniques, and then answer the questions in part III.
Part III.

In your own words, describe how you were feeling going into (before) the activities and relate your feelings as you were going through your two exercises above:
Exercise 1:
Exercise 2:

Indicate how you felt mentally, emotionally, and physically after participating in this experience:

Are there situations in your daily life in which you think you would benefit from practicing the selected stress management exercises?

Do you currently perceive stress to be a problem in your life? Yes No Why or Why not?

What are your typical stress symptoms?

Indicate any specific events or stressors in your life that trigger a stress response. That is, when, what, or who are your triggers?

Write specific objectives to either avoid or help you manage the various stress-inducing events listed above, including one or more stress management techniques.

What behavior patterns you would like to modify? List those you would like to change.

List specific techniques of change you will use to change undesirable behaviors. Please do not just put a generic, broad response. What specifically can you do to help you cope with stress/stressors? Give details for how you plan to change! Yes, we all have stress, so do not put that you do not .

What is a Eustress (good stress) in your life right now and why?

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