Form: Impact of Event Scale, IES-R

1 – Not at all
2 – A little bit
3 – Moderately
4 – Quite a bit
5 – Extremely
¹
1
2
3
4
5
1
Any reminder brought back feelings about it.
2
I had trouble staying asleep.
3
Other things kept making me think about it.
4
I felt irritable and angry.
5
I avoided letting myself get upset when I thought about it or was reminded of it.
6
I thought about it when I didn't mean to.
7
I felt as if it hadn't happened or wasn't real.
8
I stayed away from reminders about it.
9
Pictures about it popped into my mind.
10
I was jumpy and easily startled.
11
I tried not to think about it.
12
I was aware that I still had a lot of feelings about it, but I didn't deal with them.
13
My feelings about it were kind of numb.
14
I found myself acting or feeling as though I was back at that time.
15
I had trouble falling asleep.
16
I had waves of strong feelings about it.
17
I tried to remove it from my memory.
18
I had trouble concentrating.
19
Reminders of it cause me to have physical reactions, such as sweating, trouble breathing, nausea, or a pounding heart.
20
I had dreams about it.
21
I felt watchful or on guard.
22
I tried not to talk about it.

The presented answer sheet is not an original form and is not intended for printing or use as a handout.

The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.