The Stress of Adjusting to Changes. The Homes Rake Stress Scale of Change in a very accurate way to evaluate the amount of stress you have encountered during the last year.

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Instructions: Mark the events you personally have experienced during the past year. After marking them add up the value of the marked events. See below the table for information needed to understand how your score relates the amount of stress related to change you have experienced and how it relates to you personal and physical health.

EVENTS                                              POINTS / EVENT         TIMES / YR.

Death of a spouse

100

Divorce

73

Marital separation

65

Jail Term

63

Death of close family member

63

Personal injury or illness

53

Marriage

50

Fired at work

47

Marital reconciliation

45

Retirement

45

Change in health of family member

44

Pregnancy

40

Sex difficulties

39

Gain of new family member

39

Business readjustment

39

Change in financial state

38

Death of a close friend

37

Change to different line of work

36

Change in number of arguments with spouse

35

Mortgage over $40,000

31

Foreclosure of mortgage or loan

30

Change in responsibilities at work

29

Son or daughter leaving home

29

Troubles with in-laws

29

Outstanding personal achievement

28

Wife begins or stops work

26

Begin or end school

26

Change in living conditions

25

Revision of personal habits

24

Troubles with boss

23

Change in work hours or conditions

20

Change in residence

20

Change in schools

19

Change in recreation

19

Change in church activities

19

Change in social activities

18

Mortgage or loan less than $40,000

17

Change in sleeping habits

16

Change in number of family get-togethers

15

Change in eating habits

15

Vacation

13

Christmas

12

Minor violations of the law

11

Total Points

 


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150 Normal Range-No illness or injury expected

150-199 there is a 37% increase in anticipated health problems

200-299 there is a 50% increase in anticipated health problems

300-349 there is an 80% increase in anticipated health problems

350-400 there is a 90% increase in anticipated health problems

The anticipated increase of health problems has been shown to be statistically significant. This means that you could expect an increase of personal or health problems if you have experienced changes that score above 150 during a one-year period.