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Arteriovenous Malformation (AVM) Acute Stress Reaction Questionnaire for both Intracranial and Extracranial AVMs

This study will assess if the diagnosis of an AVM is an acutely stressful event.

Note: Intracranial refers to AVMs in the brain area, inside the skull; and, extracranial refers to all other AVMs outside of the brain area (face, neck, torso, extremities, etc.)

Most questions below utilize a drop-down menu choice. Select the appropriate choice for your response by clicking on the up and down arrows that appear on the right side of the box beneath the question.
A. Please indicate who is completing this survey:(Required.)
B. Please indicate AVM type:(Required.)
C. Please choose one that best fits your (or your child's) diagnosis:(Required.)
Briefly describe, in 30 words or less, the most profound event that has happened since the AVM diagnosis. (Enter your answer in this blank area.)(Required.)
How disturbing was this profound event described in the previous question? Please mark one:(Required.)
DIRECTIONS: Below is a list of experiences people sometimes have during and after a stressful event. Please read each item carefully and decide how well it describes your experience following the diagnosis of the AVM. Refer to this event in answering the items below. Use the 0-5 point scale shown below and select the number that best describes your experience. 

(Required.)
0-5 point scale
1. I had difficulty falling or staying asleep.
2. I felt restless.
3. I felt a sense of timelessness.
4. I was slow to respond.
5. I tried to avoid feelings about the AVM.
6. I had repeated distressing dreams of the AVM.
7. I felt extremely upset if exposed to events that reminded me of an aspect of the AVM.
8. I would jump in surprise at the least thing.
9. Thoughts of the AVM made it difficult for me to perform work or other things I needed to do.
10. I did not have the usual sense of who I am.
11. I tried to avoid activities that reminded me of the AVM.
12. I felt hypervigilant or "on edge."
13. I experienced myself as though I were a stranger.
14. I tried to avoid conversations about the AVM.
15. I had a bodily reaction when exposed to reminders of the AVM.
16. I had problems remembering important details about the AVM.
17. I tried to avoid thoughts about the AVM.
18. Things I saw looked different to me from how I know they really looked.
19. I had repeated and unwanted memories of the AVM.
20. I felt distant from my own emotions.
21. I felt irritable or had outbursts of anger.
22. I avoided contact with people who reminded me of the AVM.
23. I would suddenly act or feel as if I had learned about the AVM all over again.
24. My mind went blank.
25. I had amnesia for large periods after the AVM diagnosis.
26. The diagnosis of the AVM caused problems in my relationships with other people.
27. I had difficulty concentrating.
28. I felt estranged or detached from other people.
29. I had a vivid sense that the AVM was being diagnosed all over again.
30. I tried to stay away from places that reminded me of the AVM.
On how many days did you experience any of the above symptoms of distress? (Please mark one:)(Required.)