Trauma Screening - PTSD

Trauma Screening Questionnaire

You can print this page and answer the questions in privacy by circling the numbers beside each statement. If the results indicate that you have scored high on the post trauma continuum, we recommend  that you bring the results to your family doctor for further assessment and/or contact us if you wish to explore therapeutic options.



No
Yes
1
Do you avoid being reminded of any specific traumatic experiences by staying away from certain places, people or activities?
0
1
2
Have you lost interest in activities that were once important or enjoyable?
0
1
3
Have you begun to feel more isolated or distant from other people?
0
1
4
Do you find it hard to feel love or affection for other people?
0
1
5
Have you begun to feel that there is no point in planning
for the future?
0
1
6
Have you had more trouble than usual falling asleep or staying asleep?
0
1
7
Do you become jumpy or get easily startled by ordinary noises or movements?
0
1

Add all columns to find total score


Interpretation of Total Score
If you answered Yes to 4 or more questions we recommend you bring the results to your family doctor for further assessment and/or contact one of our counsellors if you wish to explore therapeutic options.

Disclaimer:
This  is  only a preliminary screening test for post traumatic symptoms and does not replace in any way a formal psychiatric evaluation. It is designed to give a preliminary idea about the presence of mild to moderate post trauma symptoms that indicate a possible need for an evaluation by a psychiatrist, or medical practitioner, or licensed mental health counselor.