Begin your psychological assessment for PTSD

Please Read.  The assessment test for PTSD and other psychological self-tests provided at U.S. Veteran Compensation Programs are intended for educational and informational purposes only and should not be understood to constitute any type of diagnosis or healthcare recommendations.  Assessment for PTSD is not inteneded as a substitute for advise of a qualified mental health professional.  However, when pursuing claim for compensation you may use data in support of any other information used.
 

Name:
Address:
City:
State:
E-mail:
Sex:
Current Age:
Military Branch:
Grade At Time of Trauma:
Theatre of Operations:
Did you experience a traumatic event?
Yes
No
Did you experience intense fear, helplessness or horror from a traumatic event?
Yes
No

Do you experience recurrent or intrusive recollections of the event?

Yes
No

Do you experience recurrent distressing dreams of the event?

Yes
No

Do you sometimes act or feel as if the traumatic event were recurring (i.e., flashbacks, hallucinations)?

Yes
No

Do you experience psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event?

Yes
No

Do you experience physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event?

Yes
No

Do you attempt to avoid stimuli associated with the traumatic event?

Yes
No

Do you attempt to avoid thoughts, feelings or conversations associated with the event?

Yes
No

Do you attempt to avoid activities, places, or people that arouse recollections of the trauma?

Yes
No

Do you have trouble recalling certain aspects of the trauma?

Yes
No

Do you experience diminished interest or participation in significant activities?

Yes
No

Do you feel detached or estranged from others?

Yes
No

Is it difficult for you to have loving feelings?

Yes
No

Do you expect to have a career?

Yes
No

Do you expect to have a good marriage?

Yes
No

Do you expect to have a normal life span?

Yes
No

Dou you have difficulty falling asleep or staying asleep?

Yes
No

Do you find that you are irritable more days that not?

Yes
No

Do you experience intense anger outbursts?

Yes
No

Do you have difficulty concentrating?

Yes
No

Are you easily startled by noises?

Yes
No

Do you constantly check your locks, windows and door to make sure they are locked?

Yes
No
Describe your traumatic event(s):