Adult Interpersonal Trauma |
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Witness Trauma |
 10. Have you seen a stranger attack or beat up someone and seriously injure or kill them? |
Intimate Partner Violence (IPV) |
 14. Have you ever been slapped, punched, kicked, or beaten up or physically hurt by your spouse or other intimate partner? |
Physical Assault |
 8. Have you been robbed or present during a robbery where the robber used a weapon? |
 9. Have you ever been hit or beat up by a stranger or someone you didn’t know very well? |
Adult Sexual Assault |
 18. Over 18 years old: did anyone touch sexual parts of your body or make you touch theirs without your consent? |
Adult Stalking |
 20. Has anyone stalked you-in other words: followed you or kept track of your activities causing you to feel intimidated or concerned for your safety? |
Sudden Death |
 5. Have you experienced the sudden unexpected death of a loved one? |
Adult Non-Interpersonal Trauma |
Accidents |
  1. Have you ever experienced a natural disaster? |
  2. Were you involved in a motor vehicle accident for which you received medical attention or that badly injured or killed someone? |
  3. Have you been involved in any other kind of accident where you or someone else was badly hurt? |
Childhood Trauma |
Childhood Physical Abuse |
 12. While growing up: Were you physically punished in a way that resulted in bruises, burns, cuts or broken bones? |
Childhood Witnessing IPV |
 13. While growing up: Did you see or hear family violence? |
Childhood Sexual Abuse |
 15. Before your 13th birthday: did anyone who was 5 years older than you, touch or fondle your body in a sexual way? |
 16. Before your 13th birthday: did anyone close to your age touch sexual parts of your body without your consent? |
 17. Between 13–18 yrs. old: did anyone touch sexual parts of your body or make you touch theirs without your consent? |
Total Childhood Trauma |
Items 12, 13, 15, 16, 17 |