During the past 7 days, how often did the following problems bother you?

Not at all

A little bit

Moderately

Quite a bit

Extremely

2. I had trouble staying asleep.A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

3. Other things kept making me think about it.A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

4. I felt irritable and angry A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

5. I avoided letting myself get upset when I thought about it or was reminded of it. A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

6. I thought about it when I didn't mean toA little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

7. I felt as if it hadn't happened or wasn't real.A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

8. I stayed away from reminders about it.A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

9. Pictures about it popped into my mind.A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

10. I was jumpy and easily startled.A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

11. I tried not to think about it.A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

12. I was aware that I still had a lot of feelings about it, but I didn't deal with them.A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

13. My feelings about it were kind of numb.A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

14. I found myself acting or feeling as though I was back at that time.A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

15. I had trouble falling asleep.A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

16. I had waves of strong feelings about it. A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

17. I tried to remove it from my memory. A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

18. I had trouble concentrating.A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

19. Reminders of it caused me to have physical reactions, such as sweating, trouble breathing, nausea, or a pounding heart. A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

20. I had dreams about it. A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

21. I felt watchful or on-guard. A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

22. I tried not to talk about it. A little bit

Moderately

Quite a bit

Extremely

Not at all

A little bit

Moderately

Quite a bit

Extremely

A little bit

Moderately

Quite a bit

Extremely

Intrusion:

Avoidance :

Hyperarousal:

Total score:

24-32 points – PTSD is a clinical problem. Even if people with high scores on the test do not have full PTSD, they should be suspected of having partial PTSD or specific symptoms (Asukai & Kato 2002)

33-38 points – threshold value for a probable diagnosis of PTSD (Creamer et al. 2002)

39-88 points – enough to suppress the functioning of your immune system (even 10 years after the event) (Kawamura et al. 2001).