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PTSD Screening Form

We can help you or someone you love find the best Drug Rehab Center with PTSD Therapy today. Addiction No More is an Addiction Treatment Center locator service. For immediate service, please call one of our counselors 24/7.

Please Note: This is not an official Assessment or Evaluation form. This form is not admissible in court or for probation officers and is not accepted by caseworkers. Addiction No More is here to help you find treatment for addiction. We can not give any legal advice. If you are looking for a rehab center please fill out this form or call us now.

Disclaimer: This evaluation is not intended to constitute a diagnosis of any disorder. The information provided here cannot substitute for a full evaluation by a health professional which must be done in person. Call us 24 hours a day, 7 days a week for help locating a treatment center for addiction.

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PTSD Screening Form

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Complete the following to get an assessment on the likelihood that you or someone you love is showing signs of post traumatic stress disorder. All answers supplied are kept strictly confidential. This assessment is not admissible in court.
You have experienced or witnessed a life-threatening event that caused intense fear, helplessness, or horror.
Repeated, disturbing memories, thoughts, or images of a stressful experience from the past?
Feeling very upset when something reminded you of a stressful experience from the past?
Since the event, do you have negative thoughts and mood associated with the event in at least 2 of the following ways?
Avoid activities or situations because they remind you of a stressful experience from the past?
Feeling distant or cut off from other people?
Feeling irritable or having angry outbursts?
Having difficulty concentrating?
Are you troubled by at least two of the following?
This field is for validation purposes and should be left unchanged.





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