Client endorses traumatic event which was [text name="variable_1" default=""]. Presently endorses Re-experiencing symptoms such as [checkbox name="variable_1" value="intrusive thoughts|nightmares|flashbacks|emotional distress after exposure to traumatic reminders|physical reactivity after exposure to traumatic reminders"].[select name="variable_1" value="He|She"] reports arousal symptoms such as [checkbox name="variable_2" value="irritability or aggression|risky or destructive behaviors|hypervigilance|heightened startled reaction|difficulty with sleep |difficulty with concentration"]. Client often finds [select name="variable_2" value="himself|herself "] avoiding trauma related [checkbox name="variable_3" value="thoughts or feeling|thoughts or feelings and reminders"]. There are associated negative thoughts such as [checkbox name="variable_4" value="inability to recall trauma |overly negative thought about self or world |exaggerated blame of self or others |negative affect |decreased interest in activities |feeling isolated |difficulty experiencing positive affect"]
There are 7 form elements.