Texas County Distress Index
Financial distress scores for all 254 counties in Texas, scored 0–100 across five domains. Mean score: 57.5. 78counties are in Serious Stress or Crisis.
Data: Census, BLS, Urban Institute, HUD, US Courts | Scores as of 2026-03-17
Texas Snapshot
254 Counties Scored
57.5 Mean Score
58.7 Median Score
79.2 Starr County Most Distressed
27.8 Borden County Least Distressed
78 Serious 110 Elevated 56 Normal 10 Healthy
Zone Distribution Texas County Map
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Healthy Normal Elevated Serious Crisis
All 254 Texas counties colored by distress zone. Hover for details; click released counties for full reports.
Most & Least Distressed
Most Distressed
Least Distressed
#254 Borden County
27.8 Healthy
Debt & Delinquency #253 Somervell County
29.0 Healthy
Debt & Delinquency #252 Armstrong County
30.2 Healthy
Debt & Delinquency Score Distribution
How Texas's 254 county scores are distributed across the 0–100 scale.
All Texas Counties
254 counties ranked by distress score. Click column headers to sort.
| State Rank | Nat'l Rank | County | Score | Zone | Primary Driver |
|---|---|---|---|---|---|
| 1 | 9 | Starr County | 79.2 | Serious Stress | Income & Poverty |
| 2 | 17 | Jim Wells County | 78.1 | Serious Stress | Income & Poverty |
| 3 | 20 | Dimmit County | 77.8 | Serious Stress | Income & Poverty |
| 4 | 31 | Bee County | 76.9 | Serious Stress | Income & Poverty |
| 5 | 36 | Duval County | 76.7 | Serious Stress | Income & Poverty |
| 6 | 42 | Brooks County | 76.2 | Serious Stress | Income & Poverty |
| 7 | 43 | Uvalde County | 76.2 | Serious Stress | Income & Poverty |
| 8 | 49 | Crosby County | 76.0 | Serious Stress | Community Vulnerability |
| 9 | 53 | Zapata County | 75.7 | Serious Stress | Income & Poverty |
| 10 | 55 | San Augustine County | 75.6 | Serious Stress | Community Vulnerability |
| 11 | 57 | Kleberg County | 75.5 | Serious Stress | Housing Cost Burden |
| 12 | 71 | Trinity County | 74.8 | Serious Stress | Community Vulnerability |
| 13 | 73 | Frio County | 74.7 | Serious Stress | Income & Poverty |
| 14 | 80 | Foard County | 74.2 | Serious Stress | Community Vulnerability |
| 15 | 81 | Maverick County | 74.2 | Serious Stress | Income & Poverty |
| 16 | 93 | Red River County | 73.5 | Serious Stress | Income & Poverty |
| 17 | 94 | Anderson County | 73.4 | Serious Stress | Debt & Delinquency |
| 18 | 98 | San Patricio County | 73.3 | Serious Stress | Community Vulnerability |
| 19 | 112 | Webb County | 72.6 | Serious Stress | Housing Cost Burden |
| 20 | 119 | Hidalgo County | 72.4 | Serious Stress | Income & Poverty |
| 21 | 120 | Willacy County | 72.4 | Serious Stress | Income & Poverty |
| 22 | 121 | Jim Hogg County | 72.4 | Serious Stress | Income & Poverty |
| 23 | 122 | Cameron County | 72.3 | Serious Stress | Income & Poverty |
| 24 | 133 | Angelina County | 72.0 | Serious Stress | Community Vulnerability |
| 25 | 136 | Refugio County | 71.8 | Serious Stress | Community Vulnerability |
| 26 | 139 | Marion County | 71.7 | Serious Stress | Income & Poverty |
| 27 | 140 | El Paso County | 71.6 | Serious Stress | Housing Cost Burden |
| 28 | 144 | McCulloch County | 71.5 | Serious Stress | Community Vulnerability |
| 29 | 147 | Nacogdoches County | 71.5 | Serious Stress | Income & Poverty |
| 30 | 151 | Hardeman County | 71.3 | Serious Stress | Community Vulnerability |
| 31 | 155 | Jones County | 71.1 | Serious Stress | Income & Poverty |
| 32 | 157 | Zavala County | 71.1 | Serious Stress | Income & Poverty |
| 33 | 159 | Brown County | 71.1 | Serious Stress | Community Vulnerability |
| 34 | 161 | Tyler County | 71.0 | Serious Stress | Community Vulnerability |
| 35 | 172 | Polk County | 70.8 | Serious Stress | Community Vulnerability |
| 36 | 185 | Real County | 70.6 | Serious Stress | Community Vulnerability |
| 37 | 190 | Swisher County | 70.4 | Serious Stress | Income & Poverty |
| 38 | 195 | Morris County | 70.3 | Serious Stress | Community Vulnerability |
| 39 | 201 | Val Verde County | 70.3 | Serious Stress | Income & Poverty |
| 40 | 209 | Nueces County | 70.1 | Serious Stress | Housing Cost Burden |
| 41 | 231 | Hale County | 69.6 | Serious Stress | Income & Poverty |
| 42 | 232 | Menard County | 69.6 | Serious Stress | Community Vulnerability |
| 43 | 242 | Terry County | 69.3 | Serious Stress | Income & Poverty |
| 44 | 243 | Palo Pinto County | 69.3 | Serious Stress | Community Vulnerability |
| 45 | 264 | Nolan County | 68.9 | Serious Stress | Income & Poverty |
| 46 | 265 | Henderson County | 68.8 | Serious Stress | Community Vulnerability |
| 47 | 270 | Walker County | 68.8 | Serious Stress | Housing Cost Burden |
| 48 | 277 | Matagorda County | 68.7 | Serious Stress | Community Vulnerability |
| 49 | 293 | Dickens County | 68.4 | Serious Stress | Income & Poverty |
| 50 | 297 | Houston County | 68.3 | Serious Stress | Community Vulnerability |
| 51 | 303 | Lamar County | 68.2 | Serious Stress | Community Vulnerability |
| 52 | 307 | Floyd County | 68.1 | Serious Stress | Income & Poverty |
| 53 | 327 | Motley County | 67.7 | Serious Stress | Community Vulnerability |
| 54 | 343 | Liberty County | 67.5 | Serious Stress | Debt & Delinquency |
| 55 | 344 | Camp County | 67.5 | Serious Stress | Community Vulnerability |
| 56 | 349 | Karnes County | 67.4 | Serious Stress | Community Vulnerability |
| 57 | 355 | Wilbarger County | 67.3 | Serious Stress | Community Vulnerability |
| 58 | 356 | Kinney County | 67.3 | Serious Stress | Community Vulnerability |
| 59 | 359 | Haskell County | 67.3 | Serious Stress | Community Vulnerability |
| 60 | 360 | Hudspeth County | 67.3 | Serious Stress | Community Vulnerability |
| 61 | 367 | Wichita County | 67.2 | Serious Stress | Debt & Delinquency |
| 62 | 378 | Victoria County | 67.0 | Serious Stress | Housing Cost Burden |
| 63 | 380 | Navarro County | 67.0 | Serious Stress | Community Vulnerability |
| 64 | 386 | Cass County | 66.8 | Serious Stress | Community Vulnerability |
| 65 | 387 | Dawson County | 66.8 | Serious Stress | Income & Poverty |
| 66 | 389 | Jefferson County | 66.8 | Serious Stress | Debt & Delinquency |
| 67 | 393 | Potter County | 66.8 | Serious Stress | Debt & Delinquency |
| 68 | 404 | Aransas County | 66.6 | Serious Stress | Community Vulnerability |
| 69 | 433 | Baylor County | 66.1 | Serious Stress | Community Vulnerability |
| 70 | 439 | Falls County | 66.0 | Serious Stress | Community Vulnerability |
| 71 | 440 | San Jacinto County | 66.0 | Serious Stress | Community Vulnerability |
| 72 | 444 | DeWitt County | 65.9 | Serious Stress | Community Vulnerability |
| 73 | 450 | Newton County | 65.8 | Serious Stress | Income & Poverty |
| 74 | 453 | Hall County | 65.8 | Serious Stress | Income & Poverty |
| 75 | 460 | Jeff Davis County | 65.7 | Serious Stress | Community Vulnerability |
| 76 | 468 | La Salle County | 65.6 | Serious Stress | Income & Poverty |
| 77 | 491 | Gregg County | 65.1 | Serious Stress | Debt & Delinquency |
| 78 | 494 | Bowie County | 65.1 | Serious Stress | Debt & Delinquency |
| 79 | 521 | Hunt County | 64.7 | Elevated | Debt & Delinquency |
| 80 | 545 | Coleman County | 64.2 | Elevated | Community Vulnerability |
| 81 | 553 | Stephens County | 64.2 | Elevated | Community Vulnerability |
| 82 | 555 | Madison County | 64.1 | Elevated | Debt & Delinquency |
| 83 | 565 | Cochran County | 64.0 | Elevated | Income & Poverty |
| 84 | 577 | Harrison County | 63.7 | Elevated | Community Vulnerability |
| 85 | 582 | Lubbock County | 63.7 | Elevated | Housing Cost Burden |
| 86 | 589 | Presidio County | 63.6 | Elevated | Income & Poverty |
| 87 | 590 | Caldwell County | 63.6 | Elevated | Debt & Delinquency |
| 88 | 602 | Upshur County | 63.4 | Elevated | Community Vulnerability |
| 89 | 613 | Wharton County | 63.1 | Elevated | Debt & Delinquency |
| 90 | 628 | Bexar County | 62.9 | Elevated | Housing Cost Burden |
| 91 | 635 | Freestone County | 62.7 | Elevated | Community Vulnerability |
| 92 | 638 | Eastland County | 62.7 | Elevated | Community Vulnerability |
| 93 | 645 | Montague County | 62.6 | Elevated | Community Vulnerability |
| 94 | 650 | Delta County | 62.5 | Elevated | Debt & Delinquency |
| 95 | 678 | McLennan County | 62.1 | Elevated | Housing Cost Burden |
| 96 | 683 | Donley County | 62.1 | Elevated | Income & Poverty |
| 97 | 691 | Brazos County | 62.0 | Elevated | Housing Cost Burden |
| 98 | 692 | Mitchell County | 62.0 | Elevated | Community Vulnerability |
| 99 | 697 | Limestone County | 61.9 | Elevated | Community Vulnerability |
| 100 | 713 | Shelby County | 61.5 | Elevated | Debt & Delinquency |
| 101 | 723 | Live Oak County | 61.4 | Elevated | Community Vulnerability |
| 102 | 732 | Cherokee County | 61.3 | Elevated | Income & Poverty |
| 103 | 737 | Coryell County | 61.2 | Elevated | Debt & Delinquency |
| 104 | 740 | Gonzales County | 61.2 | Elevated | Community Vulnerability |
| 105 | 749 | Atascosa County | 61.1 | Elevated | Debt & Delinquency |
| 106 | 769 | Orange County | 60.9 | Elevated | Debt & Delinquency |
| 107 | 779 | Edwards County | 60.8 | Elevated | Income & Poverty |
| 108 | 784 | Sabine County | 60.7 | Elevated | Community Vulnerability |
| 109 | 788 | Briscoe County | 60.6 | Elevated | Community Vulnerability |
| 110 | 803 | Wood County | 60.5 | Elevated | Community Vulnerability |
| 111 | 805 | Taylor County | 60.4 | Elevated | Housing Cost Burden |
| 112 | 807 | Erath County | 60.4 | Elevated | Housing Cost Burden |
| 113 | 811 | Dallas County | 60.3 | Elevated | Housing Cost Burden |
| 114 | 823 | Garza County | 60.1 | Elevated | Income & Poverty |
| 115 | 829 | Tom Green County | 60.0 | Elevated | Housing Cost Burden |
| 116 | 845 | Robertson County | 59.8 | Elevated | Community Vulnerability |
| 117 | 852 | San Saba County | 59.7 | Elevated | Income & Poverty |
| 118 | 866 | Gray County | 59.6 | Elevated | Income & Poverty |
| 119 | 867 | Bell County | 59.6 | Elevated | Housing Cost Burden |
| 120 | 877 | Jackson County | 59.4 | Elevated | Debt & Delinquency |
| 121 | 879 | Jasper County | 59.4 | Elevated | Debt & Delinquency |
| 122 | 883 | Concho County | 59.3 | Elevated | Income & Poverty |
| 123 | 894 | Harris County | 59.2 | Elevated | Housing Cost Burden |
| 124 | 901 | Milam County | 59.1 | Elevated | Community Vulnerability |
| 125 | 904 | Rusk County | 59.1 | Elevated | Debt & Delinquency |
| 126 | 907 | Hamilton County | 59.0 | Elevated | Community Vulnerability |
| 127 | 913 | Collingsworth County | 58.9 | Elevated | Income & Poverty |
| 128 | 933 | Hill County | 58.6 | Elevated | Community Vulnerability |
| 129 | 946 | Howard County | 58.4 | Elevated | Debt & Delinquency |
| 130 | 970 | Childress County | 58.3 | Elevated | Income & Poverty |
| 131 | 992 | Culberson County | 58.0 | Elevated | Community Vulnerability |
| 132 | 1,002 | Wheeler County | 57.9 | Elevated | Community Vulnerability |
| 133 | 1,015 | Hockley County | 57.7 | Elevated | Debt & Delinquency |
| 134 | 1,024 | Titus County | 57.6 | Elevated | Community Vulnerability |
| 135 | 1,029 | Knox County | 57.6 | Elevated | Income & Poverty |
| 136 | 1,041 | Smith County | 57.5 | Elevated | Debt & Delinquency |
| 137 | 1,047 | Hopkins County | 57.4 | Elevated | Debt & Delinquency |
| 138 | 1,049 | Lamb County | 57.4 | Elevated | Income & Poverty |
| 139 | 1,057 | Medina County | 57.3 | Elevated | Community Vulnerability |
| 140 | 1,065 | Deaf Smith County | 57.2 | Elevated | Debt & Delinquency |
| 141 | 1,074 | Grayson County | 57.2 | Elevated | Debt & Delinquency |
| 142 | 1,082 | Lampasas County | 57.0 | Elevated | Community Vulnerability |
| 143 | 1,101 | Tarrant County | 56.6 | Elevated | Housing Cost Burden |
| 144 | 1,103 | Waller County | 56.5 | Elevated | Housing Cost Burden |
| 145 | 1,127 | Throckmorton County | 56.2 | Elevated | Debt & Delinquency |
| 146 | 1,133 | Runnels County | 56.1 | Elevated | Community Vulnerability |
| 147 | 1,137 | Fannin County | 56.1 | Elevated | Debt & Delinquency |
| 148 | 1,138 | Ector County | 56.1 | Elevated | Debt & Delinquency |
| 149 | 1,142 | Rains County | 56.0 | Elevated | Community Vulnerability |
| 150 | 1,154 | Van Zandt County | 55.8 | Elevated | Debt & Delinquency |
| 151 | 1,157 | Galveston County | 55.8 | Elevated | Housing Cost Burden |
| 152 | 1,160 | Panola County | 55.8 | Elevated | Community Vulnerability |
| 153 | 1,168 | Clay County | 55.7 | Elevated | Community Vulnerability |
| 154 | 1,171 | Comanche County | 55.6 | Elevated | Community Vulnerability |
| 155 | 1,182 | Cottle County | 55.4 | Elevated | Income & Poverty |
| 156 | 1,183 | Washington County | 55.4 | Elevated | Community Vulnerability |
| 157 | 1,186 | Mills County | 55.3 | Elevated | Employment & Wages |
| 158 | 1,189 | Hardin County | 55.2 | Elevated | Community Vulnerability |
| 159 | 1,195 | Kimble County | 55.2 | Elevated | Income & Poverty |
| 160 | 1,198 | Kaufman County | 55.1 | Elevated | Debt & Delinquency |
| 161 | 1,204 | Terrell County | 55.1 | Elevated | Debt & Delinquency |
| 162 | 1,231 | Kenedy County | 54.7 | Elevated | Income & Poverty |
| 163 | 1,232 | Callahan County | 54.7 | Elevated | Community Vulnerability |
| 164 | 1,264 | Johnson County | 54.2 | Elevated | Debt & Delinquency |
| 165 | 1,279 | Goliad County | 54.1 | Elevated | Employment & Wages |
| 166 | 1,286 | Leon County | 54.0 | Elevated | Community Vulnerability |
| 167 | 1,292 | Bandera County | 54.0 | Elevated | Community Vulnerability |
| 168 | 1,298 | Hutchinson County | 53.9 | Elevated | Debt & Delinquency |
| 169 | 1,312 | Castro County | 53.7 | Elevated | Income & Poverty |
| 170 | 1,314 | Grimes County | 53.7 | Elevated | Debt & Delinquency |
| 171 | 1,332 | Jack County | 53.5 | Elevated | Debt & Delinquency |
| 172 | 1,340 | Cooke County | 53.4 | Elevated | Community Vulnerability |
| 173 | 1,353 | Franklin County | 53.3 | Elevated | Community Vulnerability |
| 174 | 1,361 | Pecos County | 53.2 | Elevated | Debt & Delinquency |
| 175 | 1,366 | Bastrop County | 53.1 | Elevated | Housing Cost Burden |
| 176 | 1,418 | Colorado County | 52.5 | Elevated | Community Vulnerability |
| 177 | 1,447 | Ellis County | 52.1 | Elevated | Housing Cost Burden |
| 178 | 1,478 | Moore County | 51.5 | Elevated | Debt & Delinquency |
| 179 | 1,483 | Lynn County | 51.4 | Elevated | Community Vulnerability |
| 180 | 1,489 | Bosque County | 51.3 | Elevated | Community Vulnerability |
| 181 | 1,490 | Calhoun County | 51.3 | Elevated | Debt & Delinquency |
| 182 | 1,528 | Reeves County | 50.8 | Elevated | Debt & Delinquency |
| 183 | 1,546 | Kerr County | 50.6 | Elevated | Community Vulnerability |
| 184 | 1,548 | Bailey County | 50.6 | Elevated | Income & Poverty |
| 185 | 1,572 | Stonewall County | 50.3 | Elevated | Debt & Delinquency |
| 186 | 1,575 | Oldham County | 50.3 | Elevated | Debt & Delinquency |
| 187 | 1,581 | Schleicher County | 50.2 | Elevated | Debt & Delinquency |
| 188 | 1,597 | Mason County | 50.0 | Elevated | Community Vulnerability |
| 189 | 1,601 | Scurry County | 50.0 | Normal | Debt & Delinquency |
| 190 | 1,604 | Hemphill County | 49.9 | Normal | Community Vulnerability |
| 191 | 1,653 | Hood County | 49.3 | Normal | Debt & Delinquency |
| 192 | 1,679 | Coke County | 48.9 | Normal | Community Vulnerability |
| 193 | 1,681 | Fisher County | 48.9 | Normal | Community Vulnerability |
| 194 | 1,689 | Hays County | 48.8 | Normal | Housing Cost Burden |
| 195 | 1,734 | Young County | 48.2 | Normal | Community Vulnerability |
| 196 | 1,743 | Austin County | 48.1 | Normal | Debt & Delinquency |
| 197 | 1,755 | Ward County | 47.9 | Normal | Debt & Delinquency |
| 198 | 1,760 | Lee County | 47.8 | Normal | Community Vulnerability |
| 199 | 1,761 | Llano County | 47.8 | Normal | Community Vulnerability |
| 200 | 1,764 | Sutton County | 47.8 | Normal | Employment & Wages |
| 201 | 1,790 | Dallam County | 47.5 | Normal | Debt & Delinquency |
| 202 | 1,809 | Brewster County | 47.3 | Normal | Income & Poverty |
| 203 | 1,830 | Hansford County | 47.0 | Normal | Debt & Delinquency |
| 204 | 1,866 | Burleson County | 46.4 | Normal | Community Vulnerability |
| 205 | 1,869 | McMullen County | 46.4 | Normal | Debt & Delinquency |
| 206 | 1,884 | Upton County | 46.2 | Normal | Income & Poverty |
| 207 | 1,892 | Montgomery County | 46.1 | Normal | Housing Cost Burden |
| 208 | 1,918 | Sherman County | 45.8 | Normal | Community Vulnerability |
| 209 | 1,930 | Wilson County | 45.6 | Normal | Debt & Delinquency |
| 210 | 1,946 | Midland County | 45.4 | Normal | Housing Cost Burden |
| 211 | 1,963 | Parmer County | 45.3 | Normal | Debt & Delinquency |
| 212 | 1,993 | Roberts County | 45.0 | Normal | Employment & Wages |
| 213 | 1,995 | Shackelford County | 44.9 | Normal | Community Vulnerability |
| 214 | 1,997 | Brazoria County | 44.9 | Normal | Debt & Delinquency |
| 215 | 2,000 | Parker County | 44.9 | Normal | Housing Cost Burden |
| 216 | 2,014 | Archer County | 44.8 | Normal | Community Vulnerability |
| 217 | 2,029 | Crockett County | 44.6 | Normal | Income & Poverty |
| 218 | 2,053 | Kent County | 44.3 | Normal | Debt & Delinquency |
| 219 | 2,057 | Ochiltree County | 44.2 | Normal | Community Vulnerability |
| 220 | 2,083 | Wise County | 43.9 | Normal | Debt & Delinquency |
| 221 | 2,124 | Denton County | 43.5 | Normal | Housing Cost Burden |
| 222 | 2,151 | Sterling County | 42.9 | Normal | Debt & Delinquency |
| 223 | 2,162 | Gillespie County | 42.7 | Normal | Community Vulnerability |
| 224 | 2,169 | Martin County | 42.6 | Normal | Debt & Delinquency |
| 225 | 2,182 | Fort Bend County | 42.4 | Normal | Housing Cost Burden |
| 226 | 2,229 | Randall County | 41.7 | Normal | Debt & Delinquency |
| 227 | 2,232 | Guadalupe County | 41.7 | Normal | Debt & Delinquency |
| 228 | 2,247 | Andrews County | 41.5 | Normal | Debt & Delinquency |
| 229 | 2,250 | Burnet County | 41.5 | Normal | Community Vulnerability |
| 230 | 2,315 | Yoakum County | 40.6 | Normal | Community Vulnerability |
| 231 | 2,316 | Irion County | 40.6 | Normal | Debt & Delinquency |
| 232 | 2,353 | Lavaca County | 40.0 | Normal | Community Vulnerability |
| 233 | 2,360 | Travis County | 39.8 | Normal | Housing Cost Burden |
| 234 | 2,361 | Comal County | 39.8 | Normal | Housing Cost Burden |
| 235 | 2,369 | Reagan County | 39.7 | Normal | Debt & Delinquency |
| 236 | 2,409 | Fayette County | 39.0 | Normal | Debt & Delinquency |
| 237 | 2,424 | Chambers County | 38.7 | Normal | Debt & Delinquency |
| 238 | 2,426 | Rockwall County | 38.7 | Normal | Housing Cost Burden |
| 239 | 2,431 | Gaines County | 38.7 | Normal | Community Vulnerability |
| 240 | 2,435 | Crane County | 38.6 | Normal | Debt & Delinquency |
| 241 | 2,474 | Collin County | 38.1 | Normal | Housing Cost Burden |
| 242 | 2,528 | Williamson County | 37.2 | Normal | Housing Cost Burden |
| 243 | 2,581 | Blanco County | 36.1 | Normal | Community Vulnerability |
| 244 | 2,610 | Carson County | 35.7 | Normal | Debt & Delinquency |
| 245 | 2,657 | Kendall County | 34.8 | Healthy | Housing Cost Burden |
| 246 | 2,661 | Winkler County | 34.8 | Healthy | Debt & Delinquency |
| 247 | 2,690 | Lipscomb County | 34.1 | Healthy | Community Vulnerability |
| 248 | 2,793 | King County | 32.1 | Healthy | Debt & Delinquency |
| 249 | 2,802 | Glasscock County | 31.9 | Healthy | Debt & Delinquency |
| 250 | 2,855 | Hartley County | 30.9 | Healthy | Debt & Delinquency |
| 251 | 2,860 | Loving County | 30.8 | Healthy | Debt & Delinquency |
| 252 | 2,881 | Armstrong County | 30.2 | Healthy | Debt & Delinquency |
| 253 | 2,920 | Somervell County | 29.0 | Healthy | Debt & Delinquency |
| 254 | 2,960 | Borden County | 27.8 | Healthy | Debt & Delinquency |
15 of 254 county reports for Texas are currently available. All 254 counties are scored and visible on the map above. New county reports are published weekly.
How County Scores Work
Each county is scored 0–100 using percentile-rank averaging across five data domains: Debt & Delinquency, Income & Poverty, Housing Cost Burden, Employment & Wages, and Community Vulnerability. A score of 50 means the county falls at the national median. Higher scores indicate greater financial distress.
Crisis (80+) — Extreme distress across multiple domains
Serious Stress (65–80) — Significant distress, multiple domains elevated
Elevated (50–65) — Above-average distress in several areas
Normal (35–50) — Near the national median
Healthy (<35) — Below-average distress