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PTSD Checklist for DSM-5 (PCL-5)

INSTRUCTIONS

The following is a list of problems that people sometimes have in response to a very stressful experience. Please read each problem carefully and select the most accurate response to indicate how much you have been bothered by that problem in the past month.

Please note that this tool is not a substitute for clinical diagnosis or professional advice. A diagnosis can only be made by a qualified clinician. You are encouraged to discuss any symptoms or problems you may be experiencing with a qualified therapist or physician.

In the past month, how much were you bothered by:

Space Cell	Not at all	A little bit	Moderately	Quite a bit	Extremely
1. Repeated, disturbing, and unwanted memories of the stressful experience?	1. Repeated, disturbing, and unwanted memories of the stressful experience?: Not at all	1. Repeated, disturbing, and unwanted memories of the stressful experience?: A little bit	1. Repeated, disturbing, and unwanted memories of the stressful experience?: Moderately	1. Repeated, disturbing, and unwanted memories of the stressful experience?: Quite a bit	1. Repeated, disturbing, and unwanted memories of the stressful experience?: Extremely
2. Repeated, disturbing dreams of the stressful experience?	2. Repeated, disturbing dreams of the stressful experience?: Not at all	2. Repeated, disturbing dreams of the stressful experience?: A little bit	2. Repeated, disturbing dreams of the stressful experience?: Moderately	2. Repeated, disturbing dreams of the stressful experience?: Quite a bit	2. Repeated, disturbing dreams of the stressful experience?: Extremely
3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?	3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?: Not at all	3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?: A little bit	3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?: Moderately	3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?: Quite a bit	3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?: Extremely
4. Feeling very upset when something reminded you of the stressful experience?	4. Feeling very upset when something reminded you of the stressful experience?: Not at all	4. Feeling very upset when something reminded you of the stressful experience?: A little bit	4. Feeling very upset when something reminded you of the stressful experience?: Moderately	4. Feeling very upset when something reminded you of the stressful experience?: Quite a bit	4. Feeling very upset when something reminded you of the stressful experience?: Extremely
5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?	5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?: Not at all	5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?: A little bit	5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?: Moderately	5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?: Quite a bit	5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?: Extremely
6. Avoiding memories, thoughts, or feelings related to the stressful experience?	6. Avoiding memories, thoughts, or feelings related to the stressful experience?: Not at all	6. Avoiding memories, thoughts, or feelings related to the stressful experience?: A little bit	6. Avoiding memories, thoughts, or feelings related to the stressful experience?: Moderately	6. Avoiding memories, thoughts, or feelings related to the stressful experience?: Quite a bit	6. Avoiding memories, thoughts, or feelings related to the stressful experience?: Extremely
7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?	7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?: Not at all	7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?: A little bit	7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?: Moderately	7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?: Quite a bit	7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?: Extremely
8. Trouble remembering important parts of the stressful experience?	8. Trouble remembering important parts of the stressful experience?: Not at all	8. Trouble remembering important parts of the stressful experience?: A little bit	8. Trouble remembering important parts of the stressful experience?: Moderately	8. Trouble remembering important parts of the stressful experience?: Quite a bit	8. Trouble remembering important parts of the stressful experience?: Extremely
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)?	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)?: Not at all	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)?: A little bit	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)?: Moderately	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)?: Quite a bit	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)?: Extremely
10. Blaming yourself or someone else for the stressful experience or what happened after it?	10. Blaming yourself or someone else for the stressful experience or what happened after it?: Not at all	10. Blaming yourself or someone else for the stressful experience or what happened after it?: A little bit	10. Blaming yourself or someone else for the stressful experience or what happened after it?: Moderately	10. Blaming yourself or someone else for the stressful experience or what happened after it?: Quite a bit	10. Blaming yourself or someone else for the stressful experience or what happened after it?: Extremely
11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?	11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?: Not at all	11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?: A little bit	11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?: Moderately	11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?: Quite a bit	11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?: Extremely
12. Loss of interest in activities that you used to enjoy?	12. Loss of interest in activities that you used to enjoy?: Not at all	12. Loss of interest in activities that you used to enjoy?: A little bit	12. Loss of interest in activities that you used to enjoy?: Moderately	12. Loss of interest in activities that you used to enjoy?: Quite a bit	12. Loss of interest in activities that you used to enjoy?: Extremely
13. Feeling distant or cut off from other people?	13. Feeling distant or cut off from other people?: Not at all	13. Feeling distant or cut off from other people?: A little bit	13. Feeling distant or cut off from other people?: Moderately	13. Feeling distant or cut off from other people?: Quite a bit	13. Feeling distant or cut off from other people?: Extremely
14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?	14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?: Not at all	14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?: A little bit	14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?: Moderately	14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?: Quite a bit	14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?: Extremely
15. Irritable behavior, angry outbursts, or acting aggressively?	15. Irritable behavior, angry outbursts, or acting aggressively?: Not at all	15. Irritable behavior, angry outbursts, or acting aggressively?: A little bit	15. Irritable behavior, angry outbursts, or acting aggressively?: Moderately	15. Irritable behavior, angry outbursts, or acting aggressively?: Quite a bit	15. Irritable behavior, angry outbursts, or acting aggressively?: Extremely
16. Taking too many risks or doing things that could cause you harm?	16. Taking too many risks or doing things that could cause you harm?: Not at all	16. Taking too many risks or doing things that could cause you harm?: A little bit	16. Taking too many risks or doing things that could cause you harm?: Moderately	16. Taking too many risks or doing things that could cause you harm?: Quite a bit	16. Taking too many risks or doing things that could cause you harm?: Extremely
17. Being “superalert” or watchful or on guard?	17. Being “superalert” or watchful or on guard?: Not at all	17. Being “superalert” or watchful or on guard?: A little bit	17. Being “superalert” or watchful or on guard?: Moderately	17. Being “superalert” or watchful or on guard?: Quite a bit	17. Being “superalert” or watchful or on guard?: Extremely
18. Feeling jumpy or easily startled?	18. Feeling jumpy or easily startled?: Not at all	18. Feeling jumpy or easily startled?: A little bit	18. Feeling jumpy or easily startled?: Moderately	18. Feeling jumpy or easily startled?: Quite a bit	18. Feeling jumpy or easily startled?: Extremely
19. Having difficulty concentrating?	19. Having difficulty concentrating?: Not at all	19. Having difficulty concentrating?: A little bit	19. Having difficulty concentrating?: Moderately	19. Having difficulty concentrating?: Quite a bit	19. Having difficulty concentrating?: Extremely
20. Trouble falling or staying asleep?	20. Trouble falling or staying asleep?: Not at all	20. Trouble falling or staying asleep?: A little bit	20. Trouble falling or staying asleep?: Moderately	20. Trouble falling or staying asleep?: Quite a bit	20. Trouble falling or staying asleep?: Extremely