PTSD Assessment (Veterans)
Below is a list of problems and complaints that veterans sometimes have in response to stressful  life experiences. Please read each one carefully, check the box to indicate how much you have been bothered by that problem in the last month.
Email *
Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? *
Required
Repeated, disturbing dreams of a stressful experience from the past?  *
Required
Suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it)? *
Required
Feeling very upset when something reminded you of a stressful experience from the past? *
Required
Having physical reactions (e.g., heart pounding, trouble breathing, or sweating) when something reminded you of a stressful experience from the past? *
Required
Avoid thinking about or talking about a stressful experience from the past or avoid having feelings related to it? *
Required
Avoid activities or situations because they remind you of a stressful experience from the past? *
Required
Trouble remembering important parts of a stressful experience from the past? *
Required
Loss of interest in things that you used to enjoy? *
Required
Feeling distant or cut off from other people? *
Required
Feeling emotionally numb or being unable to have loving feeling for those close to you? *
Required
Feeling as if your future will somehow be cut short? *
Required
Trouble falling or staying asleep? *
Required
Feeling irritable or having angry outbursts? *
Required
Having difficulty concentrating? *
Required
Being "super alert" or watchful on guard? *
Required
Feeling jumpy or easily startled?  *
Required
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This form was created inside of The Next Chapter Resource Center Inc.. Report Abuse