| Not stressful | Somewhat stressful | Quite stressful | Severely stressful | |
Social support | Sometimes, I feel lonely and I feel that nobody likes me in school | □0 | □1 | □2 | □3 |
I do not have a pleasant group to eat, study and hangout with from my school | □0 | □1 | □2 | □3 | |
I do not receive good support from colleagues, as many of them are selfish | □0 | □1 | □2 | □3 | |
I am dissatisfied with the group with whom I work in school/ hospital | □0 | □1 | □2 | □3 | |
I am in love with a classmate/colleague, but I cannot express my feelings to him/her | □0 | □1 | □2 | □3 | |
Motivation | I have poor management of time (I study for only short periods even when I have enough time | □0 | □1 | □2 | □3 |
| Somehow, I am lazy and cannot work hard | □0 | □1 | □2 | □3 |
| I cannot maintain my motivation to study | □0 | □1 | □2 | □3 |
Curriculum and teaching | I wish for more flexibility in the curriculum, but our program does not allow it | □0 | □1 | □2 | □3 |
| There is not enough sport lessons and recreation in our annual curriculum | □0 | □1 | □2 | □3 |
| There are not enough meetings with staff to discuss openly our academic problems | □0 | □1 | □2 | □3 |
| Some lecturers do not present the subjects clearly, and their lectures are boring | □0 | □1 | □2 | □3 |
Academic ambition | I would like to be a top student academically, but I cannot | □0 | □1 | □2 | □3 |
| I tend to be impatient; I am more worried about my future career than the present | □0 | □1 | □2 | □3 |
| I fear my family reaction when they know my grades. | □0 | □1 | □2 | □3 |
| I am very competitive with my peers (colleagues) to get better grades. | □0 | □1 | □2 | □3 |
| I believe that medical students are overloaded compared with students from other programs. | □0 | □1 | □2 | □3 |
Self-confidence | I care too much about others’ thoughts /impressions about me. | □0 | □1 | □2 | □3 |
| I cannot forget my social mistakes with my friends/lecturers easily. | □0 | □1 | □2 | □3 |
| I am afraid of making mistakes in school/at hospital | □0 | □1 | □2 | □3 |
Performance anxiety | I have frequent and sudden exams. | □0 | □1 | □2 | □3 |
| I do not have enough time during exams to answer all the questions | □0 | □1 | □2 | □3 |
| Usually, I prepare wrong material for my assignments and exams. | □0 | □1 | □2 | □3 |
| I get poor grades and cannot attain my goals even if I work hard | □0 | □1 | □2 | □3 |
Career related | I feel that my school programs do not prepare me well for the future as a physician. | □0 | □1 | □2 | □3 |
| Usually, I have poor communication with the staff in school/hospital. | □0 | □1 | □2 | □3 |
| I lack the proper clinical knowledge to be a healthcare professional | □0 | □1 | □2 | □3 |
Economically related | I find it hard to get enough money to cover food expenses. | □0 | □1 | □2 | □3 |
I find it hard to get enough money to cover transport needs. | □0 | □1 | □2 | □3 | |
I find it hard to get enough money to cover health expenses. | □0 | □1 | □2 | □3 | |
I find it hard to get enough money to cover other personal expenses. | □0 | □1 | □2 | □3 |