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Which of the Following Is Most Relevant to You Which of the Following Is Most Relevant to You Front Line Health and Care Worker First Responder Emergency Services Personnel

Are you experiencing symptoms of trauma? Are you experiencing symptoms of trauma? Yes No

Are you experiencing anticipatory anxiety? Are you experiencing anticipatory anxiety? Yes No

Do you feel you are experiencing Psychological Distress / Trauma in response to Covid-19? Do you feel you are experiencing Psychological Distress / Trauma in response to Covid-19? Yes No

Are you experiencing Intrusions / Flashbacks / Nightmares? Are you experiencing Intrusions / Flashbacks / Nightmares? Yes No

Are you experiencing increased irritability / low moods? Are you experiencing increased irritability / low moods? Yes No

I confirm that I am interested in availing of trauma treatment sessions I confirm that I am interested in availing of trauma treatment sessions Yes No

Any reminder brought back feelings about it? Any reminder brought back feelings about it? Not at all A little bit Moderately Quite a bit Extremely

I have trouble staying asleep I have trouble staying asleep Not at all A little bit Moderately Quite a bit Extremely

Are you experiencing acute stress, hypertension, anxiety, sleep disruptions? Are you experiencing acute stress, hypertension, anxiety, sleep disruptions? Yes No

I felt irritable and angry I felt irritable and angry Not at all A little bit Moderately Quite a bit Extremely

I avoided letting myself get upset when I thought or was reminded of it I avoided letting myself get upset when I thought or was reminded of it Not at all A little bit Moderately Quite a bit Extremely

I thought about it when I didn't mean to I thought about it when I didn't mean to Not at all A little bit Moderately Quite a bit Extremely

I felt as if it hadn't happened or wasn't real I felt as if it hadn't happened or wasn't real Not at all A little bit Moderately Quite a bit Extremely

I stayed away from reminders about it I stayed away from reminders about it Not at all A little bit Moderately Quite a bit Extremely

Other things kept making me think about it Other things kept making me think about it Not at all A little bit Moderately Quite a bit Extremely

Pictures about it popped into my mind Pictures about it popped into my mind Not at all A little bit Moderately Quite a bit Extremely

I tried not to think about it I tried not to think about it Not at all A little bit Moderately Quite a bit Extremely

I tried not to think about it I tried not to think about it Not at all A little bit Moderately Quite a bit Extremely

I was aware that I still had a lot of feelings about it, but I didn't deal with them I was aware that I still had a lot of feelings about it, but I didn't deal with them Not at all A little bit Moderately Quite a bit Extremely

My feelings about it were kind of numb My feelings about it were kind of numb Not at all A little bit Moderately Quite a bit Extremely

I was jumpy and easily startled I was jumpy and easily startled Not at all A little bit Moderately Quite a bit Extremely

I had trouble falling asleep I had trouble falling asleep Not at all A little bit Moderately Quite a bit Extremely

I had waves of strong feelings about it I had waves of strong feelings about it Not at all A little bit Moderately Quite a bit Extremely

I tried to remove it from my memory I tried to remove it from my memory Not at all A little bit Moderately Quite a bit Extremely

I found myself acting or feeling as though I was back at that time I found myself acting or feeling as though I was back at that time Not at all A little bit Moderately Quite a bit Extremely

I had trouble concentrating I had trouble concentrating Not at all A little bit Moderately Quite a bit Extremely

Reminders of it caused me to have physical reactions, such as sweating, trouble breathing, nausea, or a pounding heart Reminders of it caused me to have physical reactions, such as sweating, trouble breathing, nausea, or a pounding heart Not at all A little bit Moderately Quite a bit Extremely

I felt watchful or on-guard I felt watchful or on-guard Not at all A little bit Moderately Quite a bit Extremely

I tried not to talk about it I tried not to talk about it Not at all A little bit Moderately Quite a bit Extremely

I had dreams about it I had dreams about it Not at all A little bit Moderately Quite a bit Extremely

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