| Item #: |
LTP's: |
LIFE-EVENT DESCRIPTION: |
| 1. |
100 |
Death of Spouse/Child |
| 2. |
75 |
Divorce/Terminating Life-Partner Relationship |
| 3. |
75 |
Being a Personal Victim of Violent Crime |
| 4. |
73 |
Loss of Home/Possessions due to natural disaster |
| 5. |
68 |
Loss of Mobility due to health, loss of license, etc. |
| 6. |
65 |
Being involved in a major auto accident |
| 7. |
65 |
Death of Close Family Member/Friend |
| 8. |
63 |
Incarceration in Jail or Other Institution |
| 9. |
60 |
Having an Extra Marital/Relational Affair |
| 10. |
60 |
Marital Separation from Mate/Life-Partner |
| 11. |
55 |
Major Personal illness/injury |
| 12. |
55 |
Being a Personal Victim of Non-Violent Crime |
| 13. |
55 |
Facing Major Medical/Surgical Procedure |
| 14. |
55 |
Facing a Major Tax Audit |
| 15. |
52 |
Getting Married |
| 16. |
52 |
Being Fired/Laid-Off at Work |
| 17. |
48 |
Marital Reconciliation with Mate |
| 18. |
48 |
Retirement from Work |
| 19. |
45 |
Being involved in a minor auto accident |
| 20. |
45 |
Major change in Health/Behavior of a close family member |
| 21. |
45 |
Joining the Armed Forces |
| 22. |
42 |
Starting Your Own Full-Time Business at Home |
| 23. |
40 |
Pregnancy (1st time, add 5 points) |
| 24. |
40 |
Sexual Difficulties |
| 25. |
40 |
New Family Member added via birth or adoption; or when Older child or Senior
relation moves in) |
| 26. |
40 |
Major Business Change (e.g. a merger, reorganization, bankruptcy, etc.) |
| 27. |
40 |
Major Change in Personal Financial State, e.g. a lot
worse or better than usual |
| 28. |
40 |
Death/Loss of a Close Friend |
| 29. |
39 |
Changing entire Career Path |
| 30. |
33 |
Major shift in the number of arguments with spouse (e.g. either a lot more or
a lot less than usual re: child-rearing, personal habits, etc.) |
| 31. |
33 |
Assuming a Mortgage or Loan greater than $15,000 for a home, business,
college, etc. |
| 32. |
33 |
Foreclosure on Mortgage or Loan |
| 33. |
30 |
Son or Daughter leaving home (1st time, add 3 pts.)
e.g. getting married, attending college, etc. |
| 34. |
30 |
Trouble with In-laws |
| 35. |
29 |
Change of Job (same career path) |
| 36. |
28 |
Recognition of Personal/Civic Achievement |
| 37. |
28 |
Spouse beginning or ending work outside the home |
| 38. |
28 |
Beginning or Ending Higher Education |
| 39. |
27 |
Major Change in Responsibilities at Work (e.g. promotion, demotion, lateral
transfer, etc.) |
| 40. |
25 |
Major Change in Living Conditions/Residence (e.g. new home, major remodeling,
decay of home or neighborhood) |
| 41. |
25 |
Revision in Personal Habits (dress, manners, associations, etc.) |
| 42. |
25 |
Conflicts with Boss (or Superiors) at Work |
| 43. |
25 |
Starting Your Own Part-Time Business at Home |
| 44. |
20 |
Major Shift in Working Hours or Conditions |
| 45. |
20 |
Attending a New School |
| 46. |
20 |
Major Change in amount or type of recreation |
| 47. |
20 |
Major Change in Church, Religious or Spiritual Activities (e.g. more or less
than usual) |
| 48. |
20 |
Major Change in Social Activities (e.g. clubs, dancing, visiting, movies) |
| 49. |
18 |
Mortgage or Loan under $15,000 (e.g. new car, appliances, TV set, etc.) |
| 50. |
17 |
Major Change in Sleeping Habits (more or less; or asleep different part of
day) |
| 51. |
17 |
Major Change in number of Family Gatherings
(a lot more or less than usual) |
| 52. |
17 |
Serving on Jury Duty |
| 53. |
15 |
Major Change in Eating Habits (a lot more or less food intake; or very
different meal hours and/or surroundings) |
| 54. |
14 |
Vacation |
| 55. |
14 |
Christmas (or other major holiday) |
| 56. |
12 |
Minor Violations of the Law (e.g. speeding ticket, etc.) |
| DATE: |
TOTALS: |
(see Scoring Key below to determine if you are
in Mild, Moderate, or Major Life-Transition ... |