PTSD related assesment PTSD related assessment Email (enter same email each time so the system combines them properly)(Required) Instructions: Think back in your life how often you have these experiences.Some people have the experience of driving or riding in a car or bus or subway and suddenly realizing that they don’t remember what has happened during all or part of the trip.(Required) Never Once or twice in my life Occasionally Frequently Almost all the time Some people have the experience of being accused of doing things they don't remember doing.(Required) Never Once or twice in my life Occasionally Frequently Almost all the time Some people have the experience of feeling that other people, objects, and the world around them are not real.(Required) Never Once or twice in my life Occasionally Frequently Almost all the time Some people have the experience of feeling that their body does not seem to belong to them.(Required) Never Once or twice in my life Occasionally Frequently Almost all the time Some people sometimes find that when they are alone they talk out loud to themselves.(Required) Never Once or twice in my life Occasionally Frequently Almost all the time Some people find that in one situation they may act so differently compared with another situation that they feel almost as if they were two different people.(Required) Never Once or twice in my life Occasionally Frequently Almost all the time Some people sometimes find writings, drawings, or notes among their belongings that they must have done but cannot remember doing.(Required) Never Once or twice in my life Occasionally Frequently Almost all the time Some people sometimes find that they hear voices inside their head that tell them to do things or comment on things that they are doing.(Required) Never Once or twice in my life Occasionally Frequently Almost all the time Over the past four weeks, how much have you been bothered by?Repeated, disturbing, and unwanted memories of a stressful experience?(Required) Not at all A little bit Moderately Quite a bit Extremely Feeling very upset when something reminded you of a stressful experience?(Required) Not at all A little bit Moderately Quite a bit Extremely Avoiding memories, thoughts, or feelings related to a stressful experience?(Required) Not at all A little bit Moderately Quite a bit Extremely Avoiding external reminders of a stressful experience (for example, people, places, conversations, activities, objects, or situations)?(Required) Not at all A little bit Moderately Quite a bit Extremely 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)?(Required) Not at all A little bit Moderately Quite a bit Extremely Loss of interest in activities that you used to enjoy?(Required) Not at all A little bit Moderately Quite a bit Extremely Feeling jumpy or easily startled?(Required) Not at all A little bit Moderately Quite a bit Extremely Having difficulty concentrating?(Required) Not at all A little bit Moderately Quite a bit Extremely Review and uncheck if not applicable I am a current or possible future client of Karuna Healing Recovery Coaching and Therapy Services and consent to allow my therapist or coach to view my report in order to analyze and discuss the results with me.
