In the past month, how much were you bothered by: |
Not at all (0) |
A little (1) |
Moderately (2) |
Quite a bit (3) |
Extremely (4) |
Q1. Repeated, disturbing, and unwanted memories of the stressful experience? |
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Q2. Repeated, disturbing dreams of the stressful experience? |
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Q3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)? |
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Q4. Feeling very upset when something reminded you of the stressful experience? |
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Q5. Having strong physical reactions when something reminded you of the stressful experience (eg. heart pounding, trouble breathing, sweating)? |
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Q6. Avoiding memories, thoughts, or feelings related to the stressful experience? |
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Q7. Avoiding external reminders of the stressful experience (eg. people, places, conversations, activities, objects, or situations)? |
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Q8. Trouble remembering important parts of the stressful experience? |
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Q9. Having strong negative beliefs about yourself, other people, or the world (eg. having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)? |
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Q10. Blaming yourself or someone else for the stressful experience or what happened after it? |
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Q11. Having strong negative feelings such as fear, horror, anger, guilt, or shame? |
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Q12. Loss of interest in activities that you used to enjoy? |
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Q13. Feeling distant or cut off from other people? |
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Q14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)? |
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Q15. Irritable behavior, angry outbursts, or acting aggressively? |
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Q16. Taking too many risks or doing things that could cause you harm? |
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Q17. Being "superalert" or watchful or on guard? |
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Q18. Feeling jumpy or easily startled? |
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Q19. Having difficulty concentrating? |
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Q20. Trouble falling or staying asleep? |
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