The Posttraumatic Stress Disorder Checklist (Pcl) Page 4

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PTSD CheckList – Military Version (PCL-M)
Patient’s Name: __________________________________________
Instructions: Below is a list of problems and complaints that people sometimes have in response to
stressful military experiences. Please read each one carefully, put an “X” in the box to indicate how
much you have been bothered by that problem in the past month.
No. Response:
Not at all
A little bit
Moderately
Quite a bit
Extremely
(1)
(2)
(3)
(4)
(5)
1.
Repeated, disturbing memories, thoughts, or
images of a stressful experience from the past?
2.
Repeated, disturbing dreams of a stressful
experience from the past?
3.
Suddenly acting or feeling as if a stressful
experience were happening again (as if you were
reliving it)?
4.
Feeling very upset when something reminded you
of a stressful experience from the past?
5.
Having physical reactions (e.g., heart pounding,
trouble breathing, or sweating) when something
reminded you of a stressful experience from the
past?
6.
Avoid thinking about or talking about a stressful
experience from the past or avoid having feelings
related to it?
7.
Avoid activities or situations because they remind
you of a stressful experience from the past?
8.
Trouble remembering important parts of a
stressful experience from the past?
9.
Loss of interest in things that you used to enjoy?
10. Feeling distant or cut off from other people?
11. Feeling emotionally numb or being unable to have
loving feelings for those close to you?
12. Feeling as if your future will somehow be cut
short?
13. Trouble falling or staying asleep?
14. Feeling irritable or having angry outbursts?
15. Having difficulty concentrating?
16. Being “super alert” or watchful on guard?
17. Feeling jumpy or easily startled?
Weathers, F.W., Huska, J.A., Keane, T.M. PCL-C for DSM-IV. Boston: National Center for PTSD –
Behavioral Science Division, 1991.
This is a Government document in the public domain.
Common assessment measures: PTSD Checklist
Page 4

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