Questionnaire Trauma Treatment Center

Injured? Need help?

At this stage, we are accepting for treatment those who were in line of fire, and developed post traumatic symptoms as a result.

Questionnaire Trauma Treatment Center
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Were you present at an event during which you were fired upon and were perceived to be in substantial life-threatening danger during the recent combat events?
Were you referred by a therapeutic entity?
Do you expect to stay at a residence for the coming 3 months?
Are you currently receiving treatment?
Did you injured by a blast?
Did you injured by gunfire?
Has your condition improved in the past week?

Choose the response that reflects your feeling:
Not at all 0 - A little bit 1 - Moderately 2 - Quite a bit 3 - Extermely 4

Having "Flashbacks", that is, you suddenly acted or felt as if a stressful experience from the past was happening all over again (for example, you reexperienced parts of a stressful experience by seeing, hearing, smelling, or physically feeling parts of the experience)?
Feeling very emotionally upset when something reminded you of a stressful experience?
Feeling detached or distant from yourself, your body, your physical surroundings, or your memories?
Trying to avoid thoughts, feelings, or physical sensations that reminded you of a stressful experience?
Being "super alert", on guard, or constantly on the lookout for danger?
Feeling jumpy or easily startled when you hear an unexpected noise?
Being extermely irritable or angry to the point where you yelled at other people, got into fights, or destroyed things?