PSSI-5 for coaches/counselors data collection for research

  • YYYY dash MM dash DD
  • The scores are as follows:

    (0) Not at all
    (1) Once a week or less/little
    (2) 2 to 3 times a week/somewhat
    (3) 4 to 5 times a week/very much
    (4) 6 or more a week/severe

  • Many people are exposed to a disturbing or traumatic event at some point in their lives. These experiences can happen in any of the following ways.

    Have you:

  • Examples of traumatic events include natural disasters, accidents, sexual assaults, physical assaults, combat, childhood sexual abuse, torture, or life-threatening illness.

    Did this event include:

  • This field is for validation purposes and should be left unchanged.