Primary Care PTSD Screen (PC-PTSD)

INSTRUCTIONS: Please respond to the following brief questions, which will help us better to evaluate your health status. Circle YES or NO for each of the following four questions.
In your life, have you ever had any experience that was so frightening, horrible, or upsetting that, in the past month, you...
1. Have had nightmares about it or thought about it when you did not want to? - YES NO
2. Tried hard not to think about it or went out of your way to avoid situations that reminded you of it? - YES NO
3. Were constantly on guard, watchful, or easily startled? - YES NO
4. Felt numb or detached from others, activities, or your surroundings? - YES NO


For professional use and interpretation only. From "Screening for PTSD in a Primary Care Setting", downloaded 2005.10.04 from http://www.ncptsd.va.gov/facts/disasters/fs_screen_disaster.html. This screening tool is in the public domain and may be freely duplicated. I have added text above the line "In your life...", and clarified one punctuation ambiguity in the that line. For usage instructions, please see my Psychological trauma disorders - meeting the challenge in primary care settings.
Tom Cloyd MS MA LMHC, Bellingham, Washington, USA - (360) 920-1226 - email: tomcloyd AT tomcloyd.com 
( Copies of this document may be downloaded from http://www.tomcloyd.com/lib_iudb05347.pdf )
( IUDB#05347 / 2005.10.07 rev. 2005.10.08:2220 )