Trauma checklist 2026

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The document is a Trauma Checklist for adults, designed to assess experiences of traumatic events and their psychological impact. It includes a list of potential traumatic situations, prompts for personal reflection on the severity and frequency of trauma-related symptoms, and inquiries about how these issues affect various aspects of life such as work, relationships, and overall functioning.

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Click ‘Get Form’ to open the trauma checklist in the editor.
Begin by filling in your personal information at the top, including your name, age, sex, and date.
In the first section, review each traumatic event listed. Mark 'YES' if you have experienced or witnessed it, or 'NO' if not.
If you select 'YES' for 'Other traumatic event,' please specify the event in the provided space.
Indicate which of the events was the worst and which is prompting your current treatment by listing their corresponding question numbers.
In the second section, rate how often you experience various problems related to trauma on a scale from 0 to 3.
Finally, assess whether these issues interfere with different aspects of your life by marking 'YES' or 'NO' for each category listed.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the 5 Rs of coping?

The five guiding trauma-informed values and principles proposed by Drs. Maxine Harris and Roger Fallot are safety (physical and emotional), trustworthiness, choice, collaboration, and empowerment.

What are the 5 Rs of trauma?

What are the 5 Rs of Healing Trauma Rhythmic. Rhythm serves to regulate an individual with trauma. Repetitive. Repetition is the idea that this experience is, and will continuously be safe for the individual. Rewarding. Rewarding is simple. Relational. Relational speaks to creating safety and trust. Relevant.

What is the 17 question PTSD test?

The PCL is a standardized self-report rating scale for PTSD comprising 17 items that correspond to the key symptoms of PTSD. Two versions of the PCL exist: 1) PCL-M is specific to PTSD caused by military experiences and 2) PCL-C is applied generally to any traumatic event.

What is the trauma symptom checklist?

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 post-traumatic stress as well as other symptoms found in some traumatized individuals.s children and their families.

What are the 3 Cs of trauma?

Dr. Leanne Johnson has developed the 3 Cs Model of Trauma Informed Practice Connect, Co-Regulate and Co-Reflect. It is a comprehensive approach based on the current evidence base, emphasising the importance of relationships that young people require in trauma recovery.

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What are the 5 Rs of trauma-informed care?

Understanding the Five Rs of Coping Rich Blonna proposes a unique approach to stress management called the Five Rs of coping: Rethink, Relax, Release, Reduce, and Reorganize. Each R represents a distinct strategy designed to tackle stress effectively at different levels.