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Symptoms of Trauma Survey 2
Symptoms of Trauma Survey 2
5. Prone to accidents 0 1 2 3 4 5
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9. Intrusive imagery related to traumatic 0 1 2 3 4 5
event (e.g. you can’t stop seeing the accident)
16. Overcautiousness 0 1 2 3 4 5
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23. Impulses to run away or escape 0 1 2 3 4 5
fantasies
34. Shame 0 1 2 3 4 5
- Page 3 of 7 - 1833 Iron Point Road, Suite 120, Folsom | 916.241.9661 | 916.294.7275 f ax | www.ChubbLawFirm.com
37. Obsessive review of incident, 0 1 2 3 4 5
constantly retelling the story
45. Distrust 0 1 2 3 4 5
- Page 4 of 7 - 1833 Iron Point Road, Suite 120, Folsom | 916.241.9661 | 916.294.7275 f ax | www.ChubbLawFirm.com
51. Alienation, believing no one 0 1 2 3 4 5
can understand
58. Dizziness 0 1 2 3 4 5
- Page 5 of 7 - 1833 Iron Point Road, Suite 120, Folsom | 916.241.9661 | 916.294.7275 f ax | www.ChubbLawFirm.com
65. “Everything’s fine”stance 0 1 2 3 4 5
68. Depression 0 1 2 3 4 5
69. Shakiness 0 1 2 3 4 5
- Page 6 of 7 - 1833 Iron Point Road, Suite 120, Folsom | 916.241.9661 | 916.294.7275 f ax | www.ChubbLawFirm.com
79. Everything seems burdensome or 0 1 2 3 4 5
daunting
- Page 7 of 7 - 1833 Iron Point Road, Suite 120, Folsom | 916.241.9661 | 916.294.7275 f ax | www.ChubbLawFirm.com
93. Temperature shifts — 0 1 2 3 4 5
chills or hot flashes
- Page 8 of 7 - 1833 Iron Point Road, Suite 120, Folsom | 916.241.9661 | 916.294.7275 f ax | www.ChubbLawFirm.com