Choosing Memento Vivere

Trauma Assessment

Trauma therapy assessment tool based on Dr. John Hutton framework.

Please answer the following questions about your experiences.
Question 1 of 32
Repeated, disturbing, and unwanted memories of the stressful experience
Question 2 of 32
Repeated, disturbing dreams of the stressful experience
Question 3 of 32
Suddenly feeling or acting as if the stressful experience were actually happening again
Question 4 of 32
Feeling very upset when something reminded you of the stressful experience
Question 5 of 32
Having strong physical reactions when reminded of the stressful experience
Question 6 of 32
Avoiding memories, thoughts, or feelings related to the stressful experience
Question 7 of 32
Avoiding external reminders of the stressful experience
Question 8 of 32
Trouble remembering important parts of the stressful experience
Question 9 of 32
Having strong negative beliefs about yourself, other people, or the world
Question 10 of 32
Blaming yourself or someone else for the stressful experience
Question 11 of 32
Having strong negative feelings such as fear, horror, anger, guilt, or shame
Question 12 of 32
Loss of interest in activities that you used to enjoy
Question 13 of 32
Feeling distant or cut off from other people
Question 14 of 32
Trouble experiencing positive feelings
Question 15 of 32
Irritable behavior, angry outbursts, or acting aggressively
Question 16 of 32
Taking too many risks or doing things that could cause you harm
Question 17 of 32
Being superalert or watchful or on guard
Question 18 of 32
Feeling jumpy or easily startled
Question 19 of 32
Having difficulty concentrating
Question 20 of 32
Trouble falling or staying asleep
Question 21 of 32
Having upsetting dreams that replay part of the traumatic experience
Question 22 of 32
Having powerful images or memories in which you feel the experience is happening again
Question 23 of 32
Avoiding internal reminders (thoughts, feelings, physical sensations)
Question 24 of 32
Avoiding external reminders (people, places, conversations, situations)
Question 25 of 32
Being superalert, watchful, or on guard
Question 26 of 32
Feeling jumpy or easily startled
Question 27 of 32
When upset, it takes me a long time to calm down
Question 28 of 32
I feel numb or emotionally shut down
Question 29 of 32
I feel like a failure
Question 30 of 32
I feel worthless
Question 31 of 32
I feel distant or cut off from people
Question 32 of 32
I feel distant or cut off from people

Your responses are confidential.

Thank you

Your assessment has been recorded.

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Choosing Memento Vivere