Accepting new patientsTexas residents onlyWe do not accept MedicaidNow open: North Dallas office
Online patient form

Perceived Stress Scale

Fields marked * are required. Your answers are sent securely to our intake team — nothing is stored in your browser.

In the last month, how often have you been upset because of something that happened unexpectedly?
In the last month, how often have you felt that you were unable to control the important things in your life?
In the last month, how often have you felt nervous and stressed?
In the last month, how often have you felt anxious or lacked the confidence in your ability to handle your personal problems?
In the last month, how often have you felt that things were not going your way?
In the last month, how often have you found that you could not cope with all the things that you had to do?
In the last month, how often have you been unable to control irritations in your life?
In the last month, how often have you felt that you were falling behind on things?
In the last month, how often have you been angered because of things that happened that were outside of your control?
In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?

Your submission is emailed securely to our intake team. This form is not for emergencies.

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