Below is a list of problems that people sometimes have in response to a very stressful experience. Mark how much you have been bothered by that problem in the past month.

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1. Repeated, disturbing, and unwanted memories of the stressful experience?

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2. Repeated, disturbing dreams of the stressful experience

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3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?

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4. Feeling very upset when something reminded you of the stressful experience?

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5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?

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6. Avoiding memories, thoughts, or feelings related to the stressful experience?

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7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?

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8. Trouble remembering important parts of the stressful experience?

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9. Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)?

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10. Blaming yourself or someone else for the stressful experience or what happened after it?

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11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?

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12. Loss of interest in activities that you used to enjoy?

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13. Feeling distant or cut off from other people?

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14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?

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15. Irritable behavior, angry outbursts, or acting aggressively?

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16. Taking too many risks or doing things that could cause you harm?

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17. Being “superalert” or watchful or on guard?

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18. Feeling jumpy or easily startled?

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19. Having difficulty concentrating?

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20. Trouble falling or staying asleep?

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