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No.
1
/9
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Have you experienced a traumatic event in the past?
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Option A:
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Option B:
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Option C:
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Option D:
No.
2
/9
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Do you face any recent nightmares or memory flashbacks about the traumatic event?
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Option A:
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Option B:
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Option C:
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Option D:
No.
3
/9
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When you are alone in a room, how do you feel?
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Option A:
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Option B:
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Option C:
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Option D:
No.
4
/9
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Do you try to avoid places, activities or people that remind you of the traumatic event?
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Option A:
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Option B:
No.
5
/9
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Do you get upset easily?
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Option A:
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Option B:
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Option C:
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Option D:
No.
6
/9
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Does it make you feel bad to be away from home late at night?
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Option A:
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Option B:
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Option C:
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Option D:
No.
7
/9
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Have you been unable to open up emotionally with other people for some time?
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Option A:
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Option B:
No.
8
/9
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Have you experienced mental lapses?
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Option A:
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Option B:
No.
9
/9
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Do you have excessive mood swings and anxiety attack?
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Option A:
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Option B:
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Option C:
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Option D:
Submit
