PTSD Questionnaire

PTSD Questionnaire

Post-traumatic stress disorder (PTSD) can manifest in both psychological and physical symptoms, and unresolved trauma can significantly impact overall health. This comprehensive screening questionnaire helps assess whether you may be experiencing symptoms consistent with PTSD or trauma-related stress.

At Nourish Medical Center, we recognize the profound connection between trauma and physical health. This questionnaire serves as a screening tool to help identify if trauma may be contributing to your symptoms and whether further evaluation or support would be beneficial.

You’ll Learn:

• Common symptoms and signs of PTSD
• How to assess your trauma-related symptoms
• When to seek professional support for trauma

This handout includes a detailed questionnaire covering re-experiencing symptoms (flashbacks, nightmares), avoidance behaviors, negative changes in thoughts and mood, and hyperarousal symptoms. You’ll also find a scoring system to assess symptom severity and guidance on next steps if your results suggest PTSD may be present, including referrals to trauma-informed therapists.

Who This Handout Is For:

• Individuals who have experienced trauma
• Anyone with unexplained physical symptoms and trauma history
• Patients wanting to screen for PTSD
• Those considering whether trauma therapy might be helpful

Download this handout to assess whether trauma may be affecting your health and wellbeing.