Self-Assessments

Assessment - PTSD

Has an emotionally traumatic event affected you in a negative manner?


Section - General

Please complete this assessment if you have experienced a significantly upsetting, distressing, or frightening event, or heard that it happened to a close family member or friend. 

 

Over the past month or longer, how often have you experienced or been concerned about any of the following?



Question Almost Never Sometimes Often Very Often
1: I have recurrent thoughts, images, flashbacks or dreams of the emotionally traumatic event
2: Minor triggers including sounds, places or images remind me of the event and cause distress
3: The change in my mood since the event is having a negative impact on certain aspects of my life, work or relationships
4: I consciously suppress thoughts, feelings or conversations about the event
5: I avoid places, situations, activities or people who may remind of the event
6: I have lost interest in or no longer derive pleasure from activities that I used to enjoy
7: I feel disconnected or emotionally detached from other people since the event
8: I feel numb and struggle with emotions such as affection, intimacy and tenderness
9: I am pessimistic about the future and battle to see the road ahead in a positive manner
10: I have had trouble falling or staying asleep since the event
11: I am irritable, short tempered and more prone to becoming angry since the event
12: I battle with my concentration and find it difficult to complete tasks
13: I feel tense, distrustful and have become overly aware of my surroundings, my health or other people
14: I am prone to emotional outbursts towards others that I find difficult to control
15: I feel anxious and find it difficult to relax