## Oxytocin Lifestyle Questionnaire
For each statement below, rate how well it describes your experience over the past week on a scale from 1 (Strongly Disagree) to 5 (Strongly Agree).
| Strongly Disagree | Disagree | Neutral | Agree | Strongly Agree |
|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 |
1. In the past week, I shared a meal with someone I care about (family, friend, or partner). 2. In the past week, I hugged someone. 3. In the past week, I took part in a group activity such as team sports, a religious service, or volunteer work. 4. In the past week, I did at least 20 consecutive minutes of exercise intense enough to leave me out of breath. 5. In the past week, I ate plenty of vegetables (excluding canned). 6. In the past week, I met up with someone and had a good, extended conversation. 7. In the past week, I made eye contact with or hugged a pet. 8. In the past week, I shared a meal with someone or sang together with someone. 9. In the past week, I gave or received an expression of gratitude. 10. I tend to prefer home-cooked meals, fresh vegetables and fruits, and slow food over processed or fast food.
Scoring
| Score | Interpretation |
|---|---|
| 40 or above | Oxytocin-rich |
| 30--39 | Oxytocin-sufficient |
| 20--29 | Oxytocin-deficient |
| 19 or below | Severely oxytocin-deficient |
My Strategies for Raising Oxytocin
1. _______________________________________________ 2. _______________________________________________ 3. _______________________________________________ 4. _______________________________________________ 5. _______________________________________________
Discuss with family or friends: what can you do to raise your oxytocin levels?
## Cortisol Lifestyle Questionnaire
For each statement below, rate how well it describes your experience over the past week on a scale from 1 (Strongly Disagree) to 5 (Strongly Agree).
| Strongly Disagree | Disagree | Neutral | Agree | Strongly Agree |
|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 |
1. In the past week, I had difficulty falling asleep or staying asleep. 2. In the past week, I spent a lot of time on things I did not want to do. 3. In the past week, I frequently felt lonely. 4. In the past week, I felt I was falling behind compared to others. 5. In the past week, I was weighed down by work or academic pressure. 6. In the past week, I felt physically and mentally exhausted. 7. In the past week, I had difficulty connecting or communicating with others. 8. In the past week, I was troubled by digestive or intestinal problems. 9. In the past week, I experienced headaches or stomachaches for no clear reason. 10. In the past week, I frequently had trouble with memory or concentration.
Scoring
| Score | Interpretation |
|---|---|
| 40 or above | Extreme stress |
| 30--39 | High stress |
| 20--29 | Normal stress |
| 19 or below | Very low stress |
My Strategies for Reducing Stress
1. _______________________________________________ 2. _______________________________________________ 3. _______________________________________________ 4. _______________________________________________ 5. _______________________________________________
Discuss with family or friends: what can you do to bring your stress levels down?