Item 7 (C2): Avoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).

In the past month, have you tried to avoid things that remind you of (EVENT), like certain people, places, or situations?

What kinds of things do you avoid?

How much effort do you make to avoid these reminders? (Do you have to make a plan or change your activities to avoid them?)

[If not clear:] (Overall, how much of a problem is this for you? How would things be different if you didn’t have to avoid these reminders?)

Circle: Avoidance = Minimal, Clearly Present, Pronounced (circled), Extreme (crossed out indicating incorrect ).

How often in the past month? # of times: 25-30 (entered)

0. Absent
1. Mild/subthreshold
2. Moderate / threshold
3. Severe / markedly elevated (circled)
4. Extreme / incapacitating (crossed out indicating incorrect)

Key rating dimensions = frequency/intensity of avoidance.

• Moderate = at least 2 X month / avoidance clearly present.
• Severe = at least 2 X week / pronounced avoidance.