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Name
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First
Last
Date
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Impact of Events Scale IES-r
Below is a list of difficulties people sometimes have after stressful life events. Please read each item, and then indicate how distressing each difficulty has been for you DURING THE PAST SEVEN DAYS with respect to (your problem), how much were you distressed or bothered by these difficulties?
1 Any reminder brought back feelings about it
Not at all
A little bit
Moderately
Quite a bit
Extremely
2 I had trouble staying asleep
Not at all
A little bit
Moderately
Quite a bit
Extremely
3 Other things kept making me think about it
Not at all
A little bit
Moderately
Quite a bit
Extremely
4 I felt irritable and angry
Not at all
A little bit
Moderately
Quite a bit
Extremely
5 I avoided letting myself get upset when I thought about it or was reminded of it
Not at all
A little bit
Moderately
Quite a bit
Extremely
6 I thought about it when I didn't mean to
Not at all
A little bit
Moderately
Quite a bit
Extremely
7 I felt as if it hadn't happened or wasn't real
Not at all
A little bit
Moderately
Quite a bit
Extremely
8 I stayed away from reminders about it
Not at all
A little bit
Moderately
Quite a bit
Extremely
9 Pictures about it popped into my mind
Not at all
A little bit
Moderately
Quite a bit
Extremely
10 I was jumpy and easily startled
Not at all
A little bit
Moderately
Quite a bit
Extremely
11 I tried not to think about it
Not at all
A little bit
Moderately
Quite a bit
Extremely
12 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
13 My feelings about it were kind of numb
Not at all
A little bit
Moderately
Quite a bit
Extremely
14 I found myself acting or feeling like I was back at that time
Not at all
A little bit
Moderately
Quite a bit
Extremely
15 I had trouble falling asleep
Not at all
A little bit
Moderately
Quite a bit
Extremely
16 I had waves of strong feelings about it
Not at all
A little bit
Moderately
Quite a bit
Extremely
17 I tried to remove it from my memory
Not at all
A little bit
Moderately
Quite a bit
Extremely
18 I had trouble concentrating
Not at all
A little bit
Moderately
Quite a bit
Extremely
19 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
20 I had dreams about it
Not at all
A little bit
Moderately
Quite a bit
Extremely
21 I felt watchful and on guard
*
Not at all
A little bit
Moderately
Quite a bit
Extremely
22 I tried not to talk about it (copy)
*
Not at all
A little bit
Moderately
Quite a bit
Extremely
Final Score
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