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  • Trauma Checklist Adult - University Of Washington - Depts Washington

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Trauma Checklist Adult NAME AGE SEX DATE Below is a list of traumatic events or situations. Please mark YES if you have experienced of witnessed the following events or mark NO if you have not had.

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How to fill out the Trauma Checklist Adult - University Of Washington - Depts Washington online

Filling out the Trauma Checklist Adult is an important step in understanding your experiences and seeking appropriate support. This guide provides clear, step-by-step instructions to help you complete the form online with confidence.

Follow the steps to successfully complete the Trauma Checklist Adult.

  1. Click the ‘Get Form’ button to obtain the form and open it in the digital editor.
  2. Begin with entering your personal information at the top of the form, including your name, age, sex, and the date. Ensure that the information is accurate and current.
  3. In the first section, you will find a list of traumatic events. For each event listed, mark 'Yes' if you have experienced or witnessed it, and 'No' if you have not. Take your time to consider each item carefully.
  4. If you marked 'Yes' for the ‘Other traumatic event’ option, please provide a brief description in the space provided. This helps to give context to your experiences.
  5. The next part asks you to identify which of the traumatic events has been the most impactful by listing the question number of the worst experience.
  6. Indicate which incident is the reason you are currently seeking treatment by listing the question number. This information is crucial for understanding your needs.
  7. Respond to the series of questions regarding the selected incident by marking 'Yes' or 'No' for each question. These questions pertain to physical injuries, feelings of danger, and emotional responses.
  8. In the following section, rate how often you have experienced various problems on a scale from 0 to 3. Each number corresponds with the frequency of experiences, ranging from not at all (0) to very much (3).
  9. Lastly, indicate whether these problems have interfered with specific areas of your life, such as work, relationships, or overall satisfaction by marking 'Yes' or 'No' for each statement.
  10. Once you have completed all sections, review your responses for accuracy. You can then save any changes made, download, print, or share the completed form as needed.

Complete your Trauma Checklist Adult online today for greater understanding and support.

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Eight clinical scales (Anxiety, Depression, Anger/Aggression, Posttraumatic Stress-Intrusion, Posttraumatic Stress-Avoidance, Posttraumatic Stress-Arousal, Dissociation, and Sexual Concerns) and a summary scale provide valuable information to help you evaluate acute and chronic symptomatology and provide information on ...

The TSC-40 is a 40-item self-report measure of symptomatic distress in adults arising from childhood or adult traumatic experiences. It measures aspects of posttraumatic stress as well as other symptoms found in some traumatized individuals.

Each symptom item is rated ing to its frequency of occurrence over the prior two months, using a four point scale ranging from 0 (“never”) to 3 (“often”). The TSC-40 requires approximately 10-15 minutes to complete, and can be scored in approximately 5-10 minutes.

TSCC - Trauma Symptom Checklist for Children. The TSCC measures severity of posttraumatic stress and related psychological symptomatology (anxiety, depression, anger, dissociation) in children ages 8-16 years who have experienced traumatic events, such as physical or sexual abuse, major loss, or natural disasters.

The TSQ is a 10-item symptom screen that was designed for use with survivors of all types of traumatic stress. The TSQ is based on items from the PTSD Symptom Scale - Self Report (PSS-SR; Foa et al., 1993) and has five re-experiencing items and five arousal items.

Each symptom item is rated ing to its frequency of occurrence over the prior two months, using a four point scale ranging from 0 (“never”) to 3 (“often”). The TSC-40 requires approximately 10-15 minutes to complete, and can be scored in approximately 5-10 minutes.

Developed to assess the impact of childhood abuse on later (adult) functioning, the 33-item Trauma Symptom Checklist (TSC-33) consists of five subscales, Dissociation, Anxiety, Depression, Post-Sexual Abuse Trauma-hypothesized (PSAT-h), and Sleep Disturbance, and a total scale score.

The TEC (Nijenhuis et al., 2002) is a self-report measure addressing potentially traumatising events. It is a reliable and valid self-report instrument that can be used in clinical practice and research.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232