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Life Events Inventory

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       It is an established fact that certain life events can result in major changes in a person's life. Death of a family member or loved one, marriage, relationship issues, changes in circumstances and conditions of employment, illness and injury are examples of major life events. Such life events usually result in deep emotional shifts. They compromise your attention and energy, and  can dispose you to injury, or illness. Consequently, they can adversely affect your ability to cope with the demands of daily living. 

          Apparently, even life events that improve our situation carry the same risk of illness and injury as those that weaken or harm us. Sadly, life events are unavoidable, and they tend to effect the ability to cope. The purpose of this inventory is to give you another tool to measure events in your life that effect your ability to cope. In so doing, you will be prepared to identify the source of your distress and seek appropriate remediation, including health care and self-care. 

     This inventory should be administered at least once per year. Of course, it can be administered more often if you wish, but you should do it at least once per year. Use it in conjunction with your personal journal, and Journal Daily Experiences to measure how well you are doing and what influences are at play in your life.

     Again, there is nothing magical about the Life Events Inventory nor any other worksheet in this on this site -- they are simply self-assessment and problem solving tools. The beauty is that they are very helpful since they can be used to track and measure your impairments as well as your improvements. They can help you prepare for doctor visits by identifying problems or patterns that you wish to discuss with your doctor. Additionally, they can be used to track things that are not especially problematic; but  represent things that you want to change in yourself. 

  Instructions: Below is a list of events that might bring about changes in a person's life. Think about the past 12 months of your life and check off "yes" or "no" if the event was present in your life in the past 12 months. In the blank next to each item describe how you are coping with that particular item. (Relying on friends, family member(s), doctor(s), spiritual leader, medication, figured out who to blame, denial, still mourning, working through it, over it, celebrated, etc.) 

          Don't hesitate to call us with additional questions and concerns at 206-621-8558

  Click here to go to Life Events Inventory below 

 
Life Events Inventory
 
Life Event Past 12 Months
Yes
No
describe how you are coping
1. Became disabled or incapacitated.      
2. Loss of sense of self.      
3. Loss of independence.      
4. Loss of  identity and stature.      
5. Dependent on others for basic subsistence.      
6. Dependent on others for personal care and maintenance.      
7. Loss of self-determination and self-sufficiency.       
8. Loss of personal mobility.      
9. Loss of previous capacities and capabilities.       
10. Sexual problems      
11. Infidelity.      
12. Divorce or separation.      
13. Change in closeness with spouse, lover, partner.      
14. Reconciled with partner, lover.      
15. Ongoing conflict with present spouse, lover, etc.      
16. Conflict with parents, siblings and family members.      
17. Problems with former spouse, lover, partner.      
18. Social isolation.      
19. Change in social activities      
20. Family turmoil      
21. Became engaged.      
22. Married or began a live-in relationship.      
23. Problems with co-workers.      
24. Work interfered with family life.      
25. You or partner fired.      
26. Major change in conditions of work.      
27. Death of a spouse, lover, or other family member      
28. Death of a child (including miscarriage or stillbirth).      
29. Pregnancy.      
30. Became a parent.      
31. Child or family member left home.      
32. Child returned home with a child, etc.      
33. Change in marital status of your children or parents.      
34. Gained new, live-in, family member.      
35. Changed residence.      
36. Landlord problems.      
37. Mortgage or loan foreclosure.      
38. Became homeless      
39. Moved to new town.      
40. Loss of regular transportation.      
41. Began adolescence.      
42. Graduated high school or college      
43. Embarked on new career      
44. Began menopause.      
45. Other major life change.      
46. Long-term or life-threatening illness or injury.      
47. Major change in health or behavior of family or friend.      
48. Long-term illness, injury or disability of household member.      
49. Death of family or household member.      
50. Major decision regarding your immediate future.      
51. Major personal achievement.      
52. Change in your personal habits, lifestyle, dress, hobbies.      
53. Change in your religious or political beliefs.      
54. Loss or damage to personal property      
55. Vacation.      
56. Trip, not a vacation.      
57. Christmas / Thanksgiving, or other major holiday      
58. Change in family get-togethers.      
59. Change in your social activities.      
60. Made a new friend.      
61. Broken up with a friend due to conflict.      
62. Lost friend any other reason, death, moving.      
63. Major change in finances.      
64. New purchase, car, etc.      
65. New mortgage loan.      
66. Credit rating difficulties.      
67. Violent crime victim      
68. Physical abuse by partner, parent, caregiver, etc.      
69. Emotional abuse.      
70. Injured in car or other accident.       
71. Involved in injury claim or law suit.      
72. Law suit against you.      
73. Jailed due to legal trouble.      
74. Victim of natural disaster.      
75. Change in sleep habits.      
76. Change in diet and appetite      
77. Developed thinking and learning disabilities.       
78. Developed problems with emotional control.      
79. Sudden decline in grades      
80. Asked to withdraw from school, or dropped out of school.      
81. Conflict with school officials.      
82. Conflict with classmates      
83. Change in child care.      
84. Parenting conflicts.      
85. Conflicts with children.      
86. Single parenting.      
87. Custody battles.      
88. Child abuse issues.      
89. Learning disabled child.      
90. Emotionally fragile child.      
  Total events "YES" responses in past 12 months      

Score ---


 
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