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Event Memory Inventory
Copyright 2016 Trauma Dynamics
List each even and the corresponding age when event occurred. Please type none if none.
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Email
*
Your email
Name
*
Your answer
Natural Disaster Event (hurricanes, volcanoes, earthquakes, tornadoes, floods, ice storms)
*
Your answer
High Speed Events (car & bike accidents, falls)
*
Your answer
Assault Events (assault, rape, incest, animal attacks)
*
Your answer
Hospital Procedures/Minor injury Events (excluding full anesthesia)
*
Your answer
Poisoning, Illness Events
*
Your answer
Global Threat Events (drowning, electrocution, full anesthesia surgery, Cesarean & other birth complications)
*
Your answer
Cyclical Trauma (daily, weekly, monthly, yearly)
*
Your answer
Abandonment
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Your answer
Debilitating Symptoms (from illness, accident, PTSD)
*
Your answer
Captivity (life threatening, lasting months or years, e.g., kidnapping, or really awful family as a child)
*
Your answer
Family Traumas
*
Your answer
Other Traumas
*
Your answer
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