• PTSD Checklist for DSM-5 (PCL-5)

    Complete this assessment to help evaluate PTSD symptoms. Please answer each question based on your experience in the past month.
  • Assessment Date*
     - -
  • In the past month, how much were you bothered by: 1. Repeated, disturbing, and unwanted memories of the stressful experience?*
  • 2. Repeated, disturbing dreams of the stressful experience?*
  • 3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?*
  • 4. Feeling very upset when something reminded you of the stressful experience?*
  • 5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?*
  • 6. Avoiding memories, thoughts, or feelings related to the stressful experience?*
  • 7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?*
  • 8. Trouble remembering important parts of the stressful experience?*
  • 9. 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)?*
  • 10. Blaming yourself or someone else for the stressful experience or what happened after it?*
  • 11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?*
  • 12. Loss of interest in activities that you used to enjoy?*
  • 13. Feeling distant or cut off from other people?*
  • 14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?*
  • 15. Irritable behavior, angry outbursts, or acting aggressively?*
  • 16. Taking too many risks or doing things that could cause you harm?*
  • 17. Being 'superalert,' watchful, or on guard?*
  • 18. Feeling jumpy or easily startled?*
  • 19. Having difficulty concentrating?*
  • 20. Trouble falling or staying asleep?*
  • Should be Empty: