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Strongly AgreeAgreeSomewhat Agree Somewhat DisagreeDisagreeStrongly Disagree
1.
The traumatic event that I experienced made me question whether I would live or die.
2.
I experience inexpressible feelings of fear.
3.
I still can't believe what happened to me.
4.
I blame myself for what happened.
5.
I have memories from my experience that continually play in my mind.
6.
I have nightmares as a result of my experience.
7.
Anything that reminds me of what happened triggers a lot of fear inside of me.
8.
I do everything I can to distract myself from things that remind me of what happened.
9.
I try to avoid anything that reminds me of my experience.
10.
There are things I cannot recall about my trauma.
11.
Since my experience, I don't find joy in things that used to be fun to me.
12.
This experience has made me feel like I am completely alone.
13.
I feel a strong desire to love the people around me as a result of my experience.
14.
I have had suicidal thoughts due to this experience.
15.
I believe that sometime in the future something good can come from my experience.
16.
Since this experience I have had a difficult time sleeping.
17.
I experience a lot of muscle tension.
18.
For no apparent reason I feel like my heart is going to jump out of my chest.
19.
I find that I get easily irritated since this happened.
20.
Even though I have experienced something difficult, I feel calm.
21.
It is hard for me to focus on what is happening around me.
22.
I feel threatened by the most basic things.
23.
Surprisingly, I am at ease with what happened.
24.
Many of the symptoms listed in this evaluation have been occurring for more than a month.
25.
My experience has prevented me from participating in work and/or social events.
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