Post-Traumatic Stress Disorder Assessment (PCL-5)

Below is a list of common difficulties people may experience after a highly stressful event. Thinking about your most difficult experience,
please select the choice that best reflects how much that experience has distressed or bothered you over the past month.

Question 1

Repeated, disturbing, and unwanted memories of the stressful experience?

Question 2

Repeated, disturbing dreams of the stressful experience?

Question 3

Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?

Question 4

Feeling very upset when something reminded you of the stressful experience?

Question 5

Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?

Question 6

Avoiding memories, thoughts, or feelings related to the stressful experience?

Question 7

Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?

Question 8

Trouble remembering important parts of the stressful experience?

Question 9

Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)?

Question 10

Blaming yourself or someone else for the stressful experience or what happened after it?

Question 11

Having strong negative feelings such as fear, horror, anger, guilt, or shame?

Question 12

Loss of interest in activities that you used to enjoy?

Question 13

Feeling distant or cut off from other people?

Question 14

Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?

Question 15

Irritable behavior, angry outbursts, or acting aggressively?

Question 16

Taking too many risks or doing things that could cause you harm?

Question 17

Being “superalert” or watchful or on guard?

Question 18

Feeling jumpy or easily startled?

Question 19

Having difficulty concentrating?

Question 20

Trouble falling or staying asleep?
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