This document contains a questionnaire to collect information for research purposes. It is divided into multiple sections regarding personal background, causes of stress, stress symptoms, and stress management techniques. Respondents are asked to provide demographic information and rate how often they experience various stressors, symptoms, and coping strategies on a Likert scale ranging from never to almost always. The purpose is to gather data on stress levels and factors through a self-reported survey.

1. Questionnaire
The purpose is to collect information in order to do research.
We are very grateful for your cooperation and good faith.
SECTION A : PERSONAL BACKGROUND
Age : years
Race : Malay
Chinese
Indian
Other, please write down :
Gender : Male
Female
Place of Birth: Peninsular Malaysia
East Malaysia
Overseas
Religion : Islam
Buddhism
Christian
Hindu
Other, please write down :
Place to stay: In campus
outside campus
Faculty :
Program :
Year : Semester:
The members of a household ( include your parents and siblings ) :
You are the number child.
Family income RM0 - RM1,000
RM1,001 - RM3,000
RM3,001 - RM5,000
RM5,001 and above
A week of a class time ( include experimentation ) : hours

2. Please tick your pressure index ( stress level )
light medium heavy
Instructions
Each question below has four choices. Please choose only one and tick a mark in the bottom.
SECTION B : Causes
Never Almost Never Frequently Almost Always
Personality
1 ) I am generally satisfied with my life.
2 ) I have confidence in the future.
3 ) I like to do things in my own way and I become
irritated when this is not possible.
4 ) I get nervous if I am interrupted while I am in the
middle of some activity.
5 ) I have the patience to listen to the problems of others.
6 ) What others think of me concerns me.
7 ) Fights upset me.
8 ) I want to do things better than others.
9 ) When I disagree with someone I realize that I have
raise my voice.
10) I am jealous of those who have more than I have.
Environment and Lifestyle
1 ) I have friends who are willing to listen to me.
2 ) My family is noisy.
3 ) I fell as if I need more space in my house.
4 ) My neighbors are noisy.
5 ) When I at home, I can relax peacefully.
6 ) I eat at regular time.
7 ) I exercise regulary.
8 ) I smoke.
9 ) I drink alcoholic beverages.
10) I have a hobby which relaxes me.
11) When I nervous I take tranquilizers.
12) I have enough sleep.

3. Never Almost Never Frequently Almost Always
Symptoms
1 ) I have headaches.
2 ) I have abdominal pain.
3 ) I suffer from digestive problems.
4 ) I cry easily and suffer from frequent anxiety.
5 ) I sweat a lot (even without exercising).
6 ) I fell tired and lack energy.
7 ) I have little appetite.
8 ) I suffer from insomnia.
9 ) I have tachycardia (excessively rapid heartbeat).
10) My blood pressure is average and constant.
(Effect)As a student I :
1 ) disappointed because of late goals.
2 ) lack of resources (money,books,transport…)
3 ) experienced the disturb of life influencing me
to achieve my goal.
4 ) experienced fail reaches my goal.
5 ) abandoned by the social.
6 ) disappointed while dating.
7 )The chance is never given to me although I have
skill.
8 ) experienced conflicts and stress because of
competition (family,friends,gred…)
9 ) fell nervous and stress while taking exam.
10) I like getting people's attention.
11) once feel the stress because the restriction of time
(paper work, fees, proposes…)
12) l love competition and victory.
13) worry about other people things very much.
14) I must find out the great solution for each problem.
15) I like to delay works.
16) experienced in stress because the
relationship between people (friends,family,hopes)
Section C: Stress Management

4. Never Almost Never Frequently Almost Always
1 ) I use all kinds of method to release my feeling.
2 ) I often pray.
3 ) I hope that the miracle will happen.
4 ) I accept the fact because nothing else can do.
5 ) I hope to change the things that has already
happen and my feelings.
6 ) I take exercise and jog.
7 ) When I am in the same situation, I will refer to
past experience.
8 ) I will try to get different solution for each problem.
9 ) I will treat the problem from another way
10) I try to forget what had already happen.
11) I try to achieve the goal.
12) I try to hide my feelings.
13) I try to follow the destiny, it is no luck for me
sometimes.
14) I try calm my thought with eat, drink, smoke, take
drugs and others.
15) I try to avoid facing a lot of people.
16) I lay aside the things temporarily, try relax myself
and have a short holiday.
17) I insist on my own position and try to reach the
purpose.
18) I blame myself for what had happen.
19) I try to analyse what went wrong in order to be
more understand the problem.
20) I believe that time changes the problem. I only
need to wait.
21) I discuss with other people and receive different
views.
22) I continuing the works like nothing happen.