Name *

First Name

Last Name

Sr.No 1. Any reminder brought back feelings about it. *

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5

Sr.No 2. I had trouble staying asleep. *

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Sr.No 3. Other things kept making me think about it. *

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Sr.No 4 I felt irritable and angry. *

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Sr.No 5 I avoided letting myself get upset when I thought about it or was reminded of it. *

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Sr.No 6 I thought about it when I didn't mean to. *

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Sr.No 7 I felt as if it hadn't happened or wasn't real.

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Sr.No 8 I stayed away from reminders about it. *

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Sr.No 9 Pictures about it popped into my mind. *

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Sr.No 10 I was jumpy and easily startled. *

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Sr.No 11 I tried not to think about it. *

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Sr.No 12 I was aware that I still had a lot of feelings about it, but I didn't deal with them. *

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Sr.No 13 My feelings about it were kind of numb. *

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Sr.No 14 I found myself acting or feeling like I was back at that time. *

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Sr.No 15 I had trouble falling asleep. *

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Sr.No 16 I had waves of strong feelings about it. *

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Sr.No 17 I tried to remove it from my memory. *

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Sr.No 18 I had trouble concentrating. *

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Sr.No 19 Reminders of it caused me to have physical reactions, such as sweating, trouble breathing. *

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Sr.No 20 I had dreams about it. *

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Sr.No 21 I felt watchful and on-guard. *

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Sr.No 22 I tried not to talk about it. *

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