164 (164)    MH REPORT (601.93)

|.|.|Combat Exposure Scale (CES) |
|   1 = 0-8 light
|   2 = 9-16 light - moderate
|   3 = 17-24 moderate
|   4 = 25-32 moderate - heavy
|   5 = 33-41 heavy| |
 
 
Questions and Answers:|
|  1. Did you ever go on combat patrols or have other dangerous duty?|  <*Answer_7944*>|
|  2. Were you ever under enemy fire?|  <*Answer_7945*>|
  |   Date Given: <.Date_Given.>|   Clinician: <.Staff_Ordered_By.>|   
|  3. Were you ever surrounded by the enemy?|  <*Answer_7946*>|
|  4. What percentage of the soldiers in your unit were killed (KIA), wounded|     or missing in action (MIA)?|  <*Answer_7947*>|
|  5. How often did you fire rounds at the enemy?|  <*Answer_7948*>|
|  6. How often did you see someone hit by incoming or outgoing rounds?|  <*Answer_7949*>|
|  7. How often were you in danger of being injured or killed (i.e., being|     pinned down, overrun, ambushed, near miss, etc.)?|  <*Answer_7950*>||  |
 
Information contained in this note is based on a self-report assessment and is not sufficient to use alone for diagnostic 
purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities.| |
 
Copyright  1989, National Center for PTSD|
Location:  <.Location.>|   |   Veteran:  <.Patient_Name_Last_First.>|   
 
$~
SSN: <.Patient_SSN.>|   DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)
|   Gender: <.Patient_Gender.>| |
 
<*Answer_7772*>| | 
The total exposure to combat score can be categorized according to the     | 
following scale: