1. Have you experienced nightmares or unwanted memories of the traumatic event?

Never Rarely Sometimes Often

2. Do you feel numb or detached from people, activities, or your surroundings?

Never Rarely Sometimes Often

3. Do you feel constantly on guard, watchful, or easily startled?

Never Rarely Sometimes Often

4. Do you avoid certain places, people, or activities that remind you of the traumatic event?

Never Rarely Sometimes Often

5. Do you experience difficulty concentrating or sleeping?

Never Rarely Sometimes Often

6. Do you experience negative thoughts or feelings about yourself or others?

Never Rarely Sometimes Often