1. Repeated, unwanted memories of a stressful event.

Never Sometimes Often Always

2. Upsetting dreams about the event.

Never Sometimes Often Always

3. Feeling as if it were happening again.

Never Sometimes Often Always

4. Feeling upset when something reminds you of it.

Never Sometimes Often Always

5. Physical reactions (sweating, racing heart) to reminders.

Never Sometimes Often Always

6. Avoiding memories or thoughts about it.

Never Sometimes Often Always

7. Avoiding people or places that remind you.

Never Sometimes Often Always

8. Trying not to talk about what happened.

Never Sometimes Often Always

9. Staying away from anything linked to the event.

Never Sometimes Often Always

10. Keeping busy so you don’t think about it.

Never Sometimes Often Always

11. Loss of interest in activities you used to enjoy.

Never Sometimes Often Always

12. Feeling distant or cut off from other people.

Never Sometimes Often Always

13. Trouble feeling happy or loving.

Never Sometimes Often Always

14. Feeling emotionally numb.

Never Sometimes Often Always

15. Believing you can’t trust anyone.

Never Sometimes Often Always

16. Being easily startled or jumpy.

Never Sometimes Often Always

17. Feeling on guard or watchful.

Never Sometimes Often Always

18. Trouble falling or staying asleep.

Never Sometimes Often Always

19. Trouble concentrating.

Never Sometimes Often Always

20. Irritable or angry outbursts.

Never Sometimes Often Always