Psychological Assessment Questionnaires

Included below are Three Psychological Assessment Questionnaires - Please click on the relevant questionnaire title or contact a trauma trained provider for additional information on the use of these Trauma Measures.

Trauma Symptom Checklist #1 :  A few words about the TSC-40 Assessment Questionnaire

The TSC-40 is a 40-item self-report measure of symptomatic distress in adults arising from childhood or adult traumatic experiences. It measures aspects of posttraumatic stress as well as other symptoms found in some traumatized individuals.’s children and their families.  These measures are intended for use by qualified mental health professionals.  You will be asked to rate how often you have experienced each symptom in the last month using a 4-point frequency rating scale ranging from 0 ("never") to 3 ("often"). In addition to yielding a total score (ranging from 0 to 120), the TSC-40 has six subscales: Anxiety, Depression, Dissociation, Sexual Abuse Trauma Index, Sexual Problems, and Sleep Disturbances. 

You can bring your results to a trauma informed mental health professional for help with interpretation, scoring, and treatment.  Please print a copy upon completion!

Select this Assessment  < < <  here

Trauma Checklist Adult  #2:  A few words about this Adult Assessment Questionnaire

The Trauma Checklist for Adults is a three part - self-report measure of symptomatic distress in adults arising from traumatic experiences. It measures aspects of post-traumatic stress as well as other symptoms found in some traumatized individuals.’s children and their families.  These are broadband measure, the TSI-2 designed to evaluate post-traumatic stress and other psychological sequelae of traumatic events, including the effects of sexual and physical assault, intimate partner violence, combat, torture, motor vehicle accidents, mass casualty events, medical trauma, traumatic losses, and childhood abuse or neglect.  Problems, and Sleep Disturbances. 

You can bring your results to a trauma informed mental health professional for help with interpretation, scoring, and treatment.  Please print a copy upon completion!

Select this Assessment  < < <  here

Adverse Childhood Experience  #3:  A few words about this Childhood Experience Questionnaire

 There are 10 types of childhood trauma measured in the ACE Study. Five are personal — physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect. Five are related to other family members: a parent who’s an alcoholic, a mother who’s a victim of domestic violence, a family member in jail, a family member diagnosed with a mental illness, and the disappearance of a parent through divorce, death or abandonment.

You can bring your results to a trauma informed mental health professional for help with interpretation, scoring, and treatment.  Please print a copy upon completion!

Select this Assessment  < < <  here

Health-Resiliency-Stress Questionnaire (HRSQ)  #4:  A few words about this Personal Stress Questionnaire: 
PLEASE NOTE:  This questionnaire is a NON-validated measure and participation to validate it would be greatly appreciated.

The HRSQ was designed to give providers a quick overview of a person’s ability to tolerate and cope with stress in relationship to health.   The findings of the Adverse Childhood Experiences (ACE) Study (Felitti, Anda, CDC and similar research) have clearly documented the link between increased adverse childhood experiences and chronic physical and brain health issues. Resiliency traits can alter the experience of stress and adversity. Generally more resiliency is protective and less resiliency is detrimental.  This questionnaire is a tool to help build upon a person’s strengths, validate their experiences and encourage them toward a path of improved health and wellness.

You can bring your results to a trauma informed mental health professional for help with interpretation, scoring, and treatment.  

 

Please print a copy upon completion! 

Select this Assessment  < < <  here