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* 1. On a scale of 1 - 10, with 10 being the max, how busy is your life?

0 5 10
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* 2. How much of your time is spent on your job (home and away)?

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i We adjusted the number you entered based on the slider’s scale.

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* 3. How much of your time is spent running errands, taking care of family, etc.?

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i We adjusted the number you entered based on the slider’s scale.

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* 4. How much of your time is spent taking care of you, doing things for yourself?

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i We adjusted the number you entered based on the slider’s scale.

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* 5. On a scale of 1 - 10, with 10 being the max, how stressed do you feel?

0 5 10
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i We adjusted the number you entered based on the slider’s scale.

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* 6. What would make you feel less stressed?

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* 7. What is preventing you from doing the thing that would make you feel less stressed?

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* 8. What is your age?

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* 9. Which of the following best describes your current occupation?

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* 10. Thank you for taking the time to share your information.  If you would like to leave a comment or question, please feel free to do so.  Enter your contact info after your comment if you'd like a response.

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