0 Never 1 Once 2 Two or three times 0 1 2 3 Four or five times 3 4 Daily or almost every day 4 No startle reaction Mild, minimal reaction Moderate, definite startle response, feels "jumpy" Severe, marked reaction, sustained arousal Extreme, excessive response, overt coping behaviour (17) physiological reactivity upon exposure to events that symbolize or resemble an aspect of the traumatic event Frequency In the past week, have you experienced any physical reactions when you were faced with situations that reminded you of the event? (Listen for reports of symptoms such as racing heart beat, or muscle tension, but do not suggest symptoms to patient) How often? Intensity At their worst, how strong were these physical reactions? 0 Never 1 Once 2 Two or three times 0 1 2 3 Four or five times 3 4 Daily or almost every day 4 no physical reaction Mild, minimal reaction Moderate, physical reaction clearly present, reports some discomfort Severe, marked physical reaction, reports strong discomfort Extreme, dramatic physical reaction, sustained arousal GLOBAL RATINGS (18) Impact on Social Functioning Have the symptoms you've told me about affected your social life? Rate the overall impact that the PTSD symptoms have had on the patient's social functioning, taking into consideration impressions of the patient's behaviour, as well as his/her report provided at other times during the interview. 0 1 2 3 4 No adverse impact on social functioning Slight/mild impact on social functioning, some impairment Moderate impact on social functioning Severe impact on social functioning Extreme impact on social functioning (19) Impact on Occupational Functioning Are you working now? Have the symptoms you've told me about affected your work or your ability to work?