PTSD CheckList

Civilian Version

Below is a list of problems and complaints that people sometimes have in response to stressful life experiences.

Please read each one carefully, select the box to indicate how much you have been bothered by that problem in the last month.

Your initials*
Date of birth*

PCL-M for DSM-IV (11/1/94) Weathers, Litz, Huska, & Keane National Center for PTSD – Behavioral Science Division

This is a Government document in the public domain.