program & services

Social Readjustment Rating Scale

All changes, big or small, cause some disruption in a person's life. Different life crises have different impacts. To evaluate your chances of change-related illness, click in the box next to each Life Event that has occurred in your life in the last year. This rating scale helps show the relationship between major changes in your life and your health. It can also be used as a preventive tool because, in many cases, you may be able to anticipate change and prepare for it.

Directions: Read through the scale below and check each box if you have experienced the "Life Event" within the last year (12 months). Click on "Show My Score" to see your score, click "Erase My Score" to clear the scale of all your choices. Compare your score to the table under "Your Score." We will not record or track the answers you give for this scale.

Life Event	Average Value
Death of spouse	100
Divorce	73
Separation	65
Jail Term	63
Death of a close family member	63
Personal illness or injury	53
Marriage	50
Fired at work	47
Marital reconciliation	45
Retirement	45
Change in the health of a family member	44
Pregnancy	40
Sex difficulties	39
Gain of a new family member	39
Business readjustment	39
Change of financial state	38
Death of a close friend	37
Change to a different line of work	36
Change in the number of arguments with spouse	35
Having a large mortgage or loan	31
Foreclosure of mortgage or loan	30
Change of responsibilities at work	29
Child leaving home	29
Trouble with in-laws	29
Outstanding personal achievement	28
Spouse begins or stops work	26
Begin or end school or college	26
Change in living conditions	25
Change in personal habits	24
Trouble with boss	23
Change in working hours or conditions	20
Change of residence	20
Change of recreation	19
Change in church activities	19
Change in social activities	18
Having a moderate mortgage or loan	17
Change in sleeping habits	16
Change in eating habits	15
Holiday	13
Christmas	12
Minor violations of the law	11

Your Score

The score and percentages below represent your chance of having a serious health change within the next 12 - 18 months.

Score	%
Less than 150	10%
150-199	33%
200-299	50%
300+	80%

Getting Help

If you need help dealing with change in your life, your Magellan program can help. Counselors are available 24 hours a day, seven days a week to provide confidential assistance to you.

Reprinted from JOURNAL OF PSYCHOSOMATIC RESEARCH, Vol 11, Holmes et al, Social Readjustment Scale, pp 214, Copyright 1967, with permission from Elsevier Science.