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Trauma Checklist Adult - University of Washington

Trauma Checklist Adult Trauma Checklist Adult NAME AGE SEX DATE Below is a list of traumatic events or situations. Please mark YES if you have experienced of witnessed the following events or mark NO if you have not had that experience. accident, fire or explosion Yes No disaster (tornado, flood, hurricane, major earthquake) Yes No assault by someone you know (physically attacked/injured) Yes No assault by a stranger Yes No assault by a family member or someone you know Yes No assault by a stranger Yes No combat or a war zone Yes No contact befor

Trauma Checklist Adult Trauma Checklist Adult NAME AGE SEX DATE Below is a list of traumatic events or situations. Please mark YES if you have experienced of witnessed the following events or mark NO if you have not had that experience. 1.Serious accident, fire or explosion Yes No 2.Natural disaster (tornado, flood, hurricane, major ...

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  University, Trauma, Washington, University of washington, Experienced

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