🕊️ PCL-5 Assessment

Stress & Trauma Check-In

These questions relate to experiences following a stressful event. Answer only what you're comfortable with.

🤍 These questions can bring up difficult memories. Take breaks if you need to, and remember: seeking help is a sign of strength, not weakness.

Below is a list of problems that people sometimes have in response to a very stressful experience. Keeping your most difficult experience in mind, indicate how much you have been bothered by each problem in the past month.

Question 1

Repeated, disturbing, and unwanted memories of the stressful experience

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 2

Repeated, disturbing dreams of the stressful experience

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 3

Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 4

Feeling very upset when something reminded you of the stressful experience

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 5

Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 6

Avoiding memories, thoughts, or feelings related to the stressful experience

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 7

Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 8

Trouble remembering important parts of the stressful experience

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 9

Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 10

Blaming yourself or someone else for the stressful experience or what happened after it

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 11

Having strong negative feelings such as fear, horror, anger, guilt, or shame

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 12

Loss of interest in activities that you used to enjoy

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 13

Feeling distant or cut off from other people

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 14

Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 15

Irritable behavior, angry outbursts, or acting aggressively

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 16

Taking too many risks or doing things that could cause you harm

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 17

Being “superalert” or watchful or on guard

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 18

Feeling jumpy or easily startled

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 19

Having difficulty concentrating

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely

Question 20

Trouble falling or staying asleep

0 Not at all

1 A little bit

2 Moderately

3 Quite a bit

4 Extremely