In the past week, how often have you had trouble focusing on things like reading, TV shows, or conversations?
In the past week, how often have you had memories of the trauma came to mind at unwanted moments?
In the past week, how often have you had parts of the traumatic event are hazy or difficult to remember?
In the past week, how often have you been avoiding things - like places, people, or events - that make me think about the trauma?
In the past week, how often have you felt rushes of anger or irritability?
In the past week, how often have you been on edge much more than normal, particularly when there have been other people around?
In the past week, how often have you been unable to connect to my emotions such as not being able to laugh or cry, or feel affection for those around me?
In the past week, how often have you been trying to avoid thinking about the trauma, or the way that it makes me feel?
In the past week, how often have you became frightened, angry, or upset when remembering the trauma?
In the past week, how often have you experienced a racing pulse, excessive sweating, shaking, or chills when remembering the trauma?
In the past week, how often have you been hyper alert, particularly in situations with lots of other people around?
In the past week, how often have you had memories of the trauma were so vivid I felt like they were reoccurring?
In the past week, how often have you felt detached from friends and family, or those closest to me?
In the past week, how often have you been not interested in doing things or going places that I liked to do or go to before the trauma occurred?
In the past week, how often have you thought about the life goals I had before the trauma have changed or have gone entirely?
In the past week, how often have you had thoughts or memories of the trauma have come to me while asleep?
In the past week, how often have you struggled to get to sleep, or to stay asleep?
