| Statements / Answers |
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| 1. Nightmares or bad dreams. |
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| 2. Trying to forget about a bad time in your life. |
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| 3. Irritability. |
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| 4. Stopping yourself from thinking about the past. |
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| 5. Getting angry about something that wasn't very important. |
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| 6. Feeling empty inside. |
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| 7. Sadness. |
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| 8. Flashbacks (sudden memories or images of upsetting things). |
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| 9. Not being satisfied with your sex life. |
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| 10. Feeling like you were outside of your body. |
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| 11. Lower back pain. |
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| 12. Sudden disturbing memories when you were not expecting them. |
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| 13. Wanting to cry. |
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| 14. Not feeling happy. |
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| 15. Becoming angry for little or no reason. |
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| 16. Feeling like you don't know who you really are. |
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| 17. Feeling depressed. |
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| 18. Having sex with someone you hardly knew. |
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| 19. Thoughts or fantasies about hurting someone. |
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| 20. Your mind going blank. |
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| 21. Fainting. |
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| 22. Periods of trembling or shaking. |
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| 23.Pushing painful memories out of your mind. |
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| 24.Not understanding why you did something. |
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| 25.Threatening or attempting suicide. |
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| 26. Feeling like you were watching yourself from far away. |
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| 27. Feeling tense or "on edge”. |
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| 28. Getting into trouble because of sex. |
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| 29. Not feeling like your real self. |
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| 30. Wishing you were dead. |
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| 31. Worrying about things. |
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| 32. Not being sure of what you want in life. |
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| 33. Bad thoughts or feelings during sex. |
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| 34. Being easily annoyed by other people. |
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| 35. Starting arguments or picking fights to get your anger out. |
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| 36. Having sex or being sexual to keep from feeling lonely or sad. |
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| 37. Getting angry when you didn't want to. |
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| 38. Not being able to feel your emotions. |
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| 39. Confusion about your sexual feelings. |
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| 40. Using drugs other than marijuana. |
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| 41. Feeling jumpy. |
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| 42. Absent-mindedness. |
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| 43. Feeling paralyzed for minutes at a time. |
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| 44. Needing other people to tell you what to do. |
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| 45. Yelling or telling people off when you felt you shouldn't have. |
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| 46. Flirting or "coming on" to someone to get attention. |
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| 47. Sexual thoughts or feelings when you thought you shouldn't have them. |
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| 48.Intentionally hurting yourself (for example, by scratching, cutting, or burning) even though you weren t trying to commit suicide. |
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| 49. Aches and pains. |
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| 50. Sexual fantasies about being dominated or overpowered. |
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| 51. High anxiety. |
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| 52. Problems in your sexual relations with another person. |
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| 53. Wishing you had more money. |
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| 54. Nervousness. |
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| 55. Getting confused about what you thought or believed. |
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| 56. Feeling tired. |
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| 57. Feeling mad or angry inside. |
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| 58. Getting into trouble because of your drinking. |
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| 59. Staying away from certain people or places because they reminded you of something. |
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| 60. One side of your body going numb. |
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| 61. Wishing you could stop thinking about sex. |
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| 62. Suddenly remembering something upsetting from your past. |
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| 63. Wanting to hit someone or something. |
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| 64. Feeling hopeless. |
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| 65. Hearing someone talk to you who wasn't really there. |
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| 66. Suddenly being reminded of something bad. |
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| 67. Trying to block out certain memories. |
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| 68. Sexual problems. |
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| 69. Using sex to feel powerful or important. |
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| 70. Violent dreams. |
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| 71. Acting "sexy" even though you didn't really want sex. |
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| 72. Just for a moment, seeing or hearing something upsetting that happened earlier in your life. |
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| 73. Using sex to get love or attention. |
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| 74. Frightening or upsetting thoughts popping into your mind. |
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| 75. Getting your own feelings mixed up with someone else's. |
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| 76. Wanting to have sex with someone who you knew was bad for you. |
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| 77. Feeling ashamed about your sexual feelings or behavior. |
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| 78. Trying to keep from being alone. |
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| 79. Losing your sense of taste. |
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| 80. Your feelings or thoughts changing when you were with other people. |
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| 81. Having sex that had to be kept a secret from other people. |
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| 82. Worrying that someone is trying to steal your ideas. |
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| 83. Not letting yourself feel bad about the past. |
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| 84. Feeling like things weren't real. |
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| 85. Feeling like you were in a dream. |
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| 86. Not eating or sleeping for 2 or more days. |
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| 87. Trying not to have any feelings about something that once hurt you. |
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| 88. Daydreaming. |
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| 89. Trying not to think or talk about things in your life that were painful. |
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| 90. Feeling like life wasn't worth living. |
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| 91. Being startled or frightened by sudden noises Seeing people from the spirit world. |
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| 92. Seeing people from the spirit world. |
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| 93. Trouble controlling your temper. |
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| 94. Being easily influenced by others. |
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| 95. Wishing you didn't have any sexual feelings. |
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| 96. Wanting to set fire to a public building. |
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| 97. Feeling afraid you might die or be injured. |
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| 98. Feeling so depressed that you avoided people. |
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| 99. Thinking that someone was reading your mind. |
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| 100. Feeling worthless. |
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