This questionnaire assesses for exposure to traumatic events and the severity of trauma.

In your life, have you ever had any experience that was so frightening, horrible, or upsetting that, in the past month, you...

Have you had nightmares about it when you did not want to?
Tried hard not to think about it or went out of your way to avoid situations that reminded you of it?
Were constantly on guard, watchful, or easily startled?
Felt numb or detached from others, activities, or your surroundings?

Please fill out all required fields and click the "Submit" button at the end of the questionnaire. 

Following completion, an email will be sent to you with results and how to follow up.

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