Childhood trauma
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1
. Have you ever been through a traumatic event as a child?
Have you ever been through a traumatic event as a child?
yes
no
2
. At what age did this traumatic event happen?
At what age did this traumatic event happen?
3
4
5
6
7
8
9
10
12
13
15
16
3
. Where did this traumatic event happen?
Where did this traumatic event happen?
Home
School
hospital
daycare
with a babysitter
doctors office
plane
train
car
bus
subway
boat
4
. What type of traumatic event was it?
What type of traumatic event was it?
medical procedure
accident
mental abuse
physical abuse
rape
emotional abuse
natural disaster
bully
police action
mugging
drugs
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