Holmes Stress Point Scale

Life’s pressures can have an effect on your physical health. The following scale, developed by Thomas H. Holmes, M.D., measures the relative impact of a variety of stressful events.

Check off the events that have occurred to you within the last 12 months and then add up the figures next to the events. If your score is 300 or more, you probably run a major risk of incurring some kind of illness in the next year. If your score is 200 to 299, your illness risk is moderate, and if you score between 150 and 199, your risk is mild.

Death of a spouse
100
Divorce
73
Marital Separation
65
Jail term
63
Death of close relative
63
Personal injury or illness
53
Marriage
50
Fired from job
47
Marital reconciliation
45
Retirement
45
Change in health,family
44
Pregnancy
40
Sexual differences
39
Gain of new family member
39
Change in financial status
38
Death of close friend
37
Change of new line of work
36
Argument with spouse
35
Mortgage
31
Foreclosure of mortgage
30
Change in responsibility at work
29
Son or daughter leaving home
29
Trouble with in-laws
29
Outstanding personal achievement
28
Wife starting or stopping work
26
Beginning or ending school
26
Revision of personal habits
24
Trouble with boss
23
Change in working hours
20
Change in working conditions
20
Change in residence
20
Change in school
20
Change in recreation
19
Change in social activities
18
Loan
17
Change in sleeping habits
16
Change in family get-to-gethers
15
Change in eating habits
15
Vacation
13
Minor violations of the law