Kode:.

Skala Stress

Nama :
NPM :.
Peminatan :.

Isi instrument ini sesuai dengan yang dialami Dalam SATU TAHUN
terakhir

Life Event Value Check if this applies

1 Death of spouse 100

2 Divorce 73

3 Marital separation 65

4 Jail term 63

5 Death of close family member 63

6 Personal injury or illness 53

7 Marriage 50

8 Fired at work 47

9 Marital reconciliation 45

1
Retirement 45
0

11 Change in health of family member 44

 Kode:.

1
Pregnancy 40
2

1
Sex difficulties 39
3

1
Gain of new family member 39
4

1
Business readjustment 39
5

1
Change in financial state 38
6

1
Death of close friend 37
7

1
Change to a different line of work 36
8

1
Change in number of arguments with spouse 35
9

2
A large mortgage or loan 31
0

2
Foreclosure of mortgage or loan 30
1

2
Change in responsibilities at work 29
2

2
Son or daughter leaving home 29
3

2
Trouble with in-laws 29
4

2
Outstanding personal achievement 28
5

2
Spouse begins or stops work 26
6

2
Begin or end school/college 26
7

2
Change in living conditions 25
8
 Kode:.

2
Revision of personal habits 24
9

3
Trouble with boss 23
0

3
Change in work hours or conditions 20
1

3
Change in residence 20
2

3
Change in school/college 20
3

3
Change in recreation 19
4

3
Change in church activities 19
5

3
Change in social activities 18
6

3
A moderate loan or mortgage 17
7

3
Change in sleeping habits 16
8

3
Change in number of family get-togethers 15
9

4
Change in eating habits 15
0

4
Vacation 13
1

4
Christmas 12
2

4
Minor violations of the law 11
3

Your Total
 Kode:.

Burn Out Self Test

Nama :..
NIM :...
Peminatan :

Istrumeniniuntukmengukurbagaimanapengalamandanperasaanandaterha
dappekerjaan.
Diisisesuaidengan yang dirasakan, tidakadajawabanbenaratausalah

Not Rarely Some Often Very

# Question at all times Often

Do you feel run down and

1 drained of physical or
emotional energy?
 Kode:.

Do you find that you are

2 prone to negative thinking
about your job?

Do you find that you are

3 harder and less sympathetic
with people than perhaps
they deserve?

Do you find yourself getting

4 easily irritated by small
problems, or by your co-
workers and team?

Do you feel misunderstood

5 or unappreciated by your
co-workers?

Do you feel that you have

6 no one to talk to?

Do you feel that you are

7 achieving less than you
should?

Do you feel under an

8 unpleasant level of pressure
to succeed?

Do you feel that you are not

9 getting what you want out of
your job?

Do you feel that you are in

10 the wrong organization or
the wrong profession?

Are you becoming

11 frustrated with parts of your
job?

Do you feel that

12 organizational politics or
bureaucracy frustrate your
ability to do a good job?

Do you feel that there is

13 more work to do than you
practically have the ability to
do?

Do you feel that you do not

14 have time to do many of the
things that are important to
 Kode:.

doing a good quality job?

Do you find that you do not

15 have time to plan as much
as you would like to?

SELF REPORTING QUESTION

Nama :..
NIM :...
Peminatan :

N Gejala Ya/Tidak
o
1 SakitKepala
2 KurangNafsumakan
3 Tidurtidaknyenyak
4 Mudahtakut
5 Merasacemas, tegang, ataukhawatir
6 TanganGemetar
7 PencernaanTerganggu
8 SulitBerfikir
9 TidakMerasaBahagia
10 LebihSeringmenangisdaribiasanya
 Kode:.

11 Sulitmenikmatikegiatanharian
12 Sulitmengambilkeputusan
13 Pekerjaansehari-hariterganggu
14 Tidakmampuberperanaktifdalamkehidupansehari-hari
15 Kehilanganminatataugairah
16 Merasatidakberharga
17 Berfikiruntukbunuhdiri
18 Selalumerasalelah
19 Merasatidaknyamandiperut
20 Mudahlelah
21 Lebihseringmenggunakan alcohol/rokok/zatterlarang
22 Merasaseseorangbermaksudmencelakaianda
23 Merasaadasesuatu yang mengganggupikirananda
24 Mendengarsuara-suara yang tidakdidengar
25 Mengalamiimipibencanaatauseakanbencanaitumunculkembal
i
26 Menghindariberbagaikegiatan, tempat, orang ataupikiran
yang nmengingatkanakanbencanatersebut
27 Kurangtertarikterhadapteman-temanataukegiatansehari-hari
28 Merasasangatsedihbilaberadadalamsituasi yang
mengingatkanakanbencanatersebut
29 Sulitmengahayatiataumengeluarkanperasaan.