CONCENTRATION MEDICATION AND STRESS

Questions marked with an * are required

Do you experience any of the following:

* Are you or have you ever been on concentration medication?

yes

no

I have tried it

IF YES:
Do you feel stressed since you have been on it?

Always

Often

Never

Other

* How bad would you rate your stress?
0 being the least 10 being the worst

0-3

3-7

7-10

IF NO:
Are you stressed? If yes,
have you consulted a doctor about your stress?

Yes

No

What did the doctor suggest?

Vitamin B

Medication to reduce stress

Concentration medication

Other

* How do you deal with stress?