PC-PTSD
Name
First Name
Last Name
Directions
Think back over your entire life, have you ever had an experience that was so frightening, horrible, or upsetting that IN THE PAST MONTH you:
1. Have had nightmares about the experience or thought about it when you did not want to?
*
Yes
No
2. Tried hard not to think about the experience or went out of your way to avoid situations that reminded you of it?
*
Yes
No
3. Were constantly on guard, watchful or easily startled?
*
Yes
No
4. Felt numb, emotionally disconnected from others, detached from activities or your surroundings?
*
Yes
No
Total
Submit
Should be Empty: