| In the past month, how much were you bothered by: | |
| 1. Repeated, disturbing, and unwanted memories of the stressful experience? | |
| 2. Repeated, disturbing dreams of the stressful experience? | |
| 3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)? | |
| 4. Feeling very upset when something reminded you of the stressful experience? | |
| 5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)? | |
| 6. Avoiding memories, thoughts, or feelings related to the stressful experience? | |
| 7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)? | |
| 8. Trouble remembering important parts of the stressful experience? | |
| 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)? | |
| 10. Blaming yourself or someone else for the stressful experience or what happened after it? | |
11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?
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| 12. Loss of interest in activities that you used to enjoy? | |
| 13. Feeling distant or cut off from other people? | |
| 14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)? | |
| 15. Irritable behavior, angry outbursts, or acting aggressively? | |
| 16. Taking too many risks or doing things that could cause you harm? | |
| 17. Being "superalert" or watchful or on guard? | |
| 18. Feeling jumpy or easily startled? | |
| 19. Having difficulty concentrating? | |
| 20. Trouble falling or staying asleep? | |