1. Having upsetting thoughts or images about the event that came into your head when you didn’t want them to
0 1 2 3
2. Having bad dreams or nightmares
0 1 2 3
3. Acting or feeling as if the event was happening again (hearing something or seeing a picture about it and feeling as if you are there again)
0 1 2 3
4. Feeling upset when you think about it or hear about the event (e.g., feeling scared, angry, sad, guilty, etc.)
0 1 2 3
5. Having feelings in your body when you think about or hear about the event (e.g., breaking out into a sweat, heart beating fast)
0 1 2 3
6. Trying not to think about, talk about, or have feelings about the event
0 1 2 3
7. Trying to avoid activities, people, or places that remind you of the traumatic event
0 1 2 3
8. Not being able to remember an important part of the upsetting event
0 1 2 3
9. Having much less interest in doing things you used to do
0 1 2 3
10. Not feeling close to people around you
0 1 2 3
11. Not being able to have strong feelings (e.g., being unable to cry or unable to feel happy)
0 1 2 3
12. Feeling as if your future plans or hopes will not come true (e.g., you will not have a job or get married or have kids)
0 1 2 3
13. Having trouble falling or staying asleep
0 1 2 3
14. Feeling irritable or having fits of anger
0 1 2 3
15. Having trouble concentrating (e.g., losing track of a story on the television, forgetting what you read, not paying attention in class)
0 1 2 3
16. Being overly careful (e.g., checking to see who is around you and what is around you)
0 1 2 3
17. Being jumpy or easily startled (e.g., when someone walks up behind you)
0 1 2 3
Indicate below if the problems you rated in Part 1 have gotten in the way with any of the following areas of your life DURING THE PAST 2 WEEKS.
