| Not at all | A little bit | Moderately | Quite a bit | Extremely | ||
| 1. | Repeated, disturbing memories, thoughts, or images of a stressful military experience? | 1 | 2 | 3 | 4 | 5 |
| 2. | Repeated, disturbing dreams, of a stressful military experience? | 1 | 2 | 3 | 4 | 5 |
| 3. | Suddenly acting or feeling as if a stressful military experience were happening again (as if you were reliving it)? | 1 | 2 | 3 | 4 | 5 |
| 4. | Feeling very upset when something reminded you of a stressful military experience? | 1 | 2 | 3 | 4 | 5 |
| 5. | Having physical reactions (e.g., heart pounding, trouble breathing, sweating) when something reminded you of a stressful military experience)? | 1 | 2 | 3 | 4 | 5 |
| 6. | Avoiding thinking about or talking about a stressful military experience or avoiding having feelings related to it? | 1 | 2 | 3 | 4 | 5 |
| 7. | Avoiding activities or situations because they reminded you of a stressful military experience? | 1 | 2 | 3 | 4 | 5 |
| 8. | Trouble remembering important parts of a stressful military experience? | 1 | 2 | 3 | 4 | 5 |
| 9. | Loss of interest in activities that you used to enjoy? | 1 | 2 | 3 | 4 | 5 |
| 10. | Feeling distant or cut off from other people? | 1 | 2 | 3 | 4 | 5 |
| 11. | Feeling emotionally numb or being unable to have loving feelings for those close to you? | 1 | 2 | 3 | 4 | 5 |
| 12. | Feeling as if you future will somehow be cut short? | 1 | 2 | 3 | 4 | 5 |
| 13. | Trouble falling or staying asleep? | 1 | 2 | 3 | 4 | 5 |
| 14. | Feeling irritable or having angry outbursts? | 1 | 2 | 3 | 4 | 5 |
| 15. | Having difficulty concentrating? | 1 | 2 | 3 | 4 | 5 |
| 16. | Being “super alert” or watchful or on guard? | 1 | 2 | 3 | 4 | 5 |
| 17. | Feeling jumpy or easily startled? | 1 | 2 | 3 | 4 | 5 |