Trauma exposure questionnaire

To identify applicants for possible symptoms of traumatization, a pilot jobs program in Milwaukee uses an extensive catalog of unorthodox questions. They include 14 questions that focus on exposure to traumatic experiences. That part of the protocol is listed in its entirety. The events below may or may not have happened to you. Circle “YES” if that kind of thing has happened to you or circle “NO” if that kind of thing has not happened to you. If you circle “YES” for any events: put a number in the blank next to it to show how many times something like that happened. Number of times something like this happened A. A really bad car, boat, train or airplane accident NO YES _____ B. A really bad accident at work or home NO YES _____ C. A hurricane, flood, earthquake, tornado or fire NO YES _____ D. Hit or kicked hard enough to injure — as a child NO YES _____ E. Hit or kicked hard enough to injure — as an adult NO YES _____ F. Forced or made to have sexual contact — as a child NO YES _____ G. Forced or made to have sexual contact — as an adult NO YES _____ H. Attack with a gun, knife or weapon NO YES _____ I. During military service — seeing something horrible or being badly scared NO YES _____ J. Sudden death of close family or friend NO YES _____ K. Seeing someone die suddenly or get badly hurt or killed NO YES _____ L. Some other sudden event that made you feel very scared, helpless or horrified NO YES _____ M. Sudden move or loss of home and possessions NO YES _____ N. Suddenly abandoned by spouse, partner, parent, or family. NO YES _____