PCL-5 PTSD Monitoring

PCL-5 PTSD Monitoring Questionnaire

In the past month, how much were you bothered by each of the following stressful experience symptoms?

1. Repeated, disturbing, and unwanted memories of the stressful experience? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

2. Repeated, disturbing dreams of the stressful experience? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

3. Suddenly feeling or acting as if the stressful experience were actually happening again? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

4. Feeling very upset when something reminded you of the stressful experience? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

5. Having strong physical reactions when something reminded you of the stressful experience? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

6. Avoiding memories, thoughts, or feelings related to the stressful experience? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

7. Avoiding external reminders of the stressful experience? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

8. Trouble remembering important parts of the stressful experience? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

9. Having strong negative beliefs about yourself, other people, or the world? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

10. Blaming yourself or someone else for the stressful experience? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

11. Having strong negative feelings such as fear, horror, anger, guilt, or shame? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

12. Loss of interest in activities that you used to enjoy? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

13. Feeling distant or cut off from other people? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

14. Trouble having positive feelings? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

15. Irritable behavior, angry outbursts, or acting aggressively? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

16. Taking too many risks or doing things that could cause you harm? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

17. Being 'super-alert' or watchful or on guard? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

18. Feeling jumpy or easily startled? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

19. Difficulty concentrating? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely

20. Trouble falling or staying asleep? * Required

0 - Not at all1 - A little bit2 - Moderately3 - Quite a bit4 - Extremely