Adult Trauma Score

Natural disaster, for example: flood, hurricane, tornado, earthquake

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Fire or Explosion

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Transportation accident (car accident, boat accident, train wreck, plane crash)

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Serious accident at work, home, or during recreational activity

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Exposure to Toxic Substances (for example, dangerous chemicals, radiation)

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Physical Assault (for example, being attacked, hit, slapped, kicked, beaten up)

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb)

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Sexual Assault (rape, attempted rape, made to perform any kind of sexual act through force or threat of harm)

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Other unwanted or uncomfortable sexual experience

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Combat or exposure to a war-zone (in military or as a civilian)

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Captivity (for example being kidnapped, abducted, held hostage, prisoner of war)

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Life threatening illness or injury

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Severe Human Suffering

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Sudden violent death, for example homicide or suicide

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Sudden Accidental Death

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Serious injury, harm, or death you caused to someone else

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Any other stressful event or experience

0 – doesn’t apply to me

1-Not sure

2- Part of my job

3- Learned about it

4- Witnessed it

5- Happened to me

Chronic Pain Management and Fibromyalgia

chronic pain management of fibromyalgia, back, arthritis and neuropathy pain

Adult Trauma Score

Share this: