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. 2015 Feb 3;5(1):59–69. doi: 10.3390/bs5010059
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