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How is Your Child Doing Since the Injury?

Here is a list of reactions that some people experience after going through something sudden or scary, like being injured.

How to Rate Your Child’s Reactions

You can rate these on your own (based on what you have noticed with your child). Or even better, involve your child in rating his/her reactions with you. Please complete all of the items, and click SUBMIT when you’re finished. You will have to scroll down to see the whole page.

How often/how much are these true for your child?


1.
How long has it been since your child's injury?
   
 
Less than a month
     
 
One month or more
     
reExperiencing
Never/
Not at all
Sometimes/
Somewhat
Always/
Very much
2.
Thinks a lot about what happened to him/her
3.
Has bad dreams or nightmares since the injury
4.
Gets upset or has physical reactions (headache, stomachache, heart pounding) at reminders of what happened
avoidance
Never/
Not at all
Sometimes/
Somewhat
Always/
Very much
5.
Doesn’t want to talk about what happened or tries to push it out of his/her mind
6.
Wants to stay away from people, places, or things that are reminders of what happened
7.
Afraid of something that s/he was not afraid of before (or a previous fear or worry seems to get worse)
8.
Not interested in usual activities, since the injury
9.
Not interested in being with people s/he usually likes, since the injury
avoidance
Never/
Not at all
Sometimes/
Somewhat
Always/
Very much
10.
Worries a lot that something else bad will happen
11.
Startles easily - for example, jumps if there is a sudden noise
12.
Seems irritable or has angry outbursts, since the injury
13.
Has trouble paying attention to things, since the injury
14.
Has trouble falling or staying asleep, since the injury
avoidance
Never/
Not at all
Sometimes/
Somewhat
Always/
Very much
15.
Is still having pain or discomfort
16.
Has had other behavior changes since the injury
17.
Is having trouble with returning to school / other activities
 
     
18.
If your child has experienced any of the reactions above, overall are they:
      
   Getting Better       Staying about the same       Getting worse
avoidance
Never/
Not at all
Sometimes/
Somewhat
Always/
Very much
19.
Brothers or sisters are upset or worried
20.
You (parent) are stressed or worried yourself