HCSM - Home ASSESSMENT & evaluation HRLS Full Name: THE HOLMES-RAHE LIFE STRESS INVENTORY No of Questions: 43 HRLS THE HOLMES-RAHE LIFE STRESS INVENTORY 1 / 43 1. Death of spouse A) YES B) NO 2 / 43 2. Divorce A) YES B) NO 3 / 43 3. Marital Separation from mate A) YES B) NO 4 / 43 4. Detention in jail or other institution A) YES B) NO 5 / 43 5. Death of close family member A) YES B) NO 6 / 43 6. Personal injury or illness A) YES B) NO 7 / 43 7. Marriage A) YES B) NO 8 / 43 8. Fired at work A) YES B) NO 9 / 43 9. Marital reconciliation A) YES B) NO 10 / 43 10. Retirement A) YES B) NO 11 / 43 11. Change in health of family member A) YES B) NO 12 / 43 12. Pregnancy A) YES B) NO 13 / 43 13. Sex difficulties A) YES B) NO 14 / 43 14. Gain of a new family member A) YES B) NO 15 / 43 15. Business readjustment A) YES B) NO 16 / 43 16. Change in financial state A) YES B) NO 17 / 43 17. Death of a close friend A) YES B) NO 18 / 43 18. Change to a different line of work A) YES B) NO 19 / 43 19. Change in number of arguments with spouse A) YES B) NO 20 / 43 20. Mortgage over $20,000 A) YES B) NO 21 / 43 21. Foreclosure of mortgage or loan A) YES B) NO 22 / 43 22. Change in responsibilities at work A) YES B) NO 23 / 43 23. Son or daughter leaving home A) YES B) NO 24 / 43 24. Trouble with in laws A) YES B) NO 25 / 43 25. Outstanding personal achievement A) YES B) NO 26 / 43 26. Spouse begins or stop work A) YES B) NO 27 / 43 27. Begin or end school A) YES B) NO 28 / 43 28. Change in living conditions A) YES B) NO 29 / 43 29. Revisions of personal habits A) YES B) NO 30 / 43 30. Trouble with boss A) YES B) NO 31 / 43 31. Change in work hours or conditions A) YES B) NO 32 / 43 32. Change in residence A) YES B) NO 33 / 43 33. Change in schools A) YES B) NO 34 / 43 34. Change in recreations A) YES B) NO 35 / 43 35. Change in church activities A) YES B) NO 36 / 43 36. Change in social activities A) YES B) NO 37 / 43 37. Mortgage or loan less than $20,000 A) YES B) NO 38 / 43 38. Change in sleeping habits A) YES B) NO 39 / 43 39. Change in number of family get-togethers A) YES B) NO 40 / 43 40. Change in eating habits A) YES B) NO 41 / 43 41. Vacation A) YES B) NO 42 / 43 42. Christmas approaching A) YES B) NO 43 / 43 43. Minor violation of the law A) YES B) NO 0%
