PTSD Checklist-Civilian Form (PCL-C)

Instructions to patient: Below is a list of problems and complaints that people sometimes have in response to stressful
life experiences. Please read each one carefully, and then fill in the circle of the response to indicate how much you have
been bothered by that problem IN THE PAST MNTH. Please fill in O! option only for each "uestion.
!es"onse
Not at
all (#)
A little
$it (%)
Mo&eratel'
(()
)*ite a
$it (+)
E,tremel'
(-)
#.
#epeated, disturbin$ memories, thoughts, or images of a stressful
experience from the past%
%.
#epeated, disturbin$ dreams of a stressful experience from the
past%
(.
&uddenly acting or feeling as if a stressful experience were
happening again 'as if you were relivin$ it(%
+.
)eelin$ very upset when something reminded you of a stressful
experience from the past%
-.
*avin$ physical reactions 'e.$., heart poundin$, trouble breathin$,
or sweatin$( when something reminded you of a stressful
experience from the past%
/.
+void thinking about or talking about a stressful experience from
the past or avoid having feelings related to it%
0.
+void activities or situations because they remind you of a stressful
experience from the past%
1.
,rouble remembering important parts of a stressful experience
from the past%
2.
-oss of interest in things that you used to enjoy?
#3.
)eelin$ distant or cut off from other people%
##.
)eelin$ emotionally numb or bein$ unable to have lovin$ feelin$s
for those close to you%
#%.
)eelin$ as if your future will somehow be cut short%
#(.
,rouble falling or staying asleep%
#+.
)eelin$ irritable or havin$ angry outbursts%
#-.
*avin$ difficulty concentrating%
#/.
Bein$ super alert or watchful on $uard%
#0.
)eelin$ jumpy or easily startled%
,he total score is the sum of all ./ items.
+ score of 0 12 su$$ests the presence of a si$nificant level of symptom severity
which should be further evaluated with a formal assessment.
,otal &core