Brief Betrayal Trauma Survey – BBTS

Been in a major earthquake, fire, flood, hurricane, or tornado that resulted in significant loss of personal property, serious injury to yourself or a significant other, the death of a significant other, or the fear of your own death (Before age 18).

Been in a major automobile, boat, motorcycle, plane, train, or industrial accident that resulted in similar consequences (Before age 18).

Witnessed someone with whom you were very close (such as a parent, brother or sister, caretaker, or intimate partner) committing suicide, being killed, or being injured by another person so severely as to result in marks, bruises, burns, blood, or broken bones (Before age 18).

Witnessed someone with whom you were not so close undergoing a similar kind of traumatic event (Before age 18).

Witnessed someone with whom you were very close deliberately attack another family member so severely as to result in marks, bruises, blood, broken bones, or broken teeth (Before age 18).

You were deliberately attacked that severely by someone with whom you were very close (Before age 18).

You were deliberately attacked that severely by someone with whom you were not close (Before age 18).

You were made to have some form of sexual contact, such as touching or penetration, by someone with whom you were very close (such as a parent or lover) (Before age 18).

You were made to have such sexual contact by someone with whom you were not close (Before age 18).

You were emotionally or psychologically mistreated over a significant period of time by someone with whom you were very close (such as a parent or lover) (Before age 18).

Experienced the death of one of your own children (Before age 18).

Experienced a seriously traumatic event not already covered in any of these questions (Before age 18).

Been in a major earthquake, fire, flood, hurricane, or tornado that resulted in significant loss of personal property, serious injury to yourself or a significant other, the death of a significant other, or the fear of your own death (Age 18 or older).

Been in a major automobile, boat, motorcycle, plane, train, or industrial accident that resulted in similar consequences (Age 18 or older).

Witnessed someone with whom you were very close (such as a parent, brother or sister, caretaker, or intimate partner) committing suicide, being killed, or being injured by another person so severely as to result in marks, bruises, burns, blood, or broken bones (Age 18 or older).

Witnessed someone with whom you were not so close undergoing a similar kind of traumatic event (Age 18 or older).

Witnessed someone with whom you were very close deliberately attack another family member so severely as to result in marks, bruises, blood, broken bones, or broken teeth (Age 18 or older).

You were deliberately attacked that severely by someone with whom you were very close (Age 18 or older).

You were deliberately attacked that severely by someone with whom you were not close (Age 18 or older).

You were made to have some form of sexual contact, such as touching or penetration, by someone with whom you were very close (such as a parent or lover) (Age 18 or older).

You were made to have such sexual contact by someone with whom you were not close (Age 18 or older).

You were emotionally or psychologically mistreated over a significant period of time by someone with whom you were very close (such as a parent or lover) (Age 18 or older).

Experienced the death of one of your own children (Age 18 or older).

Experienced a seriously traumatic event not already covered in any of these questions (Age 18 or older).