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| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)\r\n| Gender: <.Patient_Gender.>| | \r\n \r\n| PC-PTSD-5 Screening Score: <-PTSD5->| \r\n|<*Answer_7771*>|<*Answer_7772*>| |\r\n \r\nQuestions and Answers|\r\n Sometimes things h
appen to people that are unusually or especially|\r\n frightening, horrible, or traumatic. For example:|\r\n A serious accident or fire|\r\n A physical or sexual assault or abuse|\r\n An earthquake or flood|\r\n A war|
\r\n Seeing someone be killed or seriously injured|\r\n Having a loved one die through homicide or suicide| |\r\n 1. Have you ever experienced this kind of event? | <*Answer_7793*>|\r\n 2. Had nightmares about the event(s)
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traumatic. For example:| |\r\n A serious accident or fire |\r\n A physical or sexual assault or abuse|\r\n An earthquake or flood|\r\n A war|\r\n Seeing someone be kille
ard, watchful, or easily startled?| <*Answer_7796*>|\r\n 5. Felt numb or detached from people, activities, or your surroundings?| <*Answer_7797*>|\r\n 6. Felt guilty or unable to stop blaming yourself or others for the|\r\n
event(s) or any problems the event(s) may have caused?| <*Answer_7798*>|\r\n \r\n| |Information contained in this note is based on a self-report assessment and\r\n|is not sufficient to use alone for diagnostic purposes. Assessment res
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