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PTSD Questionnaire

Have you experienced or witnessed a life-threatening event that caused intense fear, helplessness, or horror.
Have you lost interest in things you once enjoyed?
Had nightmares about the event(s) or thought about the event(s) when you did not want to?
Are you having sleep disturbances?
In the past week, how much have you been bothered by pain, aches, or tiredness?
Do you feel depressed of sad?
Do you try hard to not think of the event that wounded you?
Are you mad at God?
Are you easily startled or feel like you need to be on guard?
Do you feel like you have bad luck? You can't win?
Are you sure that you are going to heaven?
Do you feel detached from others?
Felt guilty or unable to stop blaming yourself or others for the event(s) or any problems the event(s) may have caused?
Do you think you need to forgive someone?
Since the event, do you think back to it often?
Do you want to "get back" at the person who hurt you?
Are there peices of the event that draw a blank -- no memory?
Do want to heal?

Thanks for submitting!

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