Part # _____
Page # _____
C Version
This assessment is designed to have you think about important issues related to the dealing
with the shooting. For each of the situations described below, you are asked to rate how
confident you are that you can successfully deal with them. Because people differ from each
other in the way that they are dealing with the crisis there is no single correct response. The
following items refer to specific behaviors. Please think about yourself currently not as it
was the day of the shooting.
Using the following scale, please rate how capable you think you are to....
1
2
I'm not at all
Capable
3
4
I'm moderately
Capable
5
6
7
I'm totally
Capable
______1. Do my school work effectively.
______2. Comforting others.
______3. Maintain religious/spiritual beliefs.
______4. Go back to school.
______5. Return to life as it was before.
______6. Have conversations about the shooting.
______7. Accept what happened.
______8. Find some meaning in what happened.
______9. Express my feelings about what happened.
______10. Not bring my stress reactions home.
______11. Be able to concentrate.
______12. Not lose my temper.
The following items refer to thoughts related to the shooting. Please think about yourself
currently, not as it was the day of the shooting.
Using the following scale, please rate how capable you think you are in managing....
1
2
I'm not at all
Capable
3
4
I'm moderately
Capable
5
6
7
I'm totally
Capable
______1. Thoughts of people dying.
______2. Thoughts of friends dying.
______3. Controlling distressing thoughts about the shooting.
______4. Painful memories of the event (e.g., people screaming, people in pain, etc.).
______5. Thoughts about the pain of the families who lost loved ones.
______6. Thoughts about my own vulnerability.
______7. Thoughts about this happening again.
______8. Thoughts about the individuals who did this.
______9. Thoughts of personal injury.
______10. Thinking optimistically.
Part # _____
Page # _____
The following items refer to visual images related to the shooting. Please think about
yourself currently, not as it was the day of the shooting.
Using the following scale, please rate how capable you think you are in managing....
1
2
I'm not at all
Capable
______1.
______2
______3.
______4.
______5.
______6.
______7.
3
4
I'm moderately
Capable
5
6
7
I'm totally
Capable
Painful images of the event.
Distressing dreams.
Visual reminders of the shooting (e.g., T.V., Pictures, seeing the building etc.).
Controlling images of the event that come into mind.
Images of the dead or injured people.
Images of distressed family members who lost loved ones.
Images of the people who died.
The following questions refer to emotions related to the shooting. Please think about
yourself currently, not as it was the day of the shooting.
Using the following scale, please rate how capable you think you are in managing...
1
2
I'm not at all
Capable
3
4
I'm moderately
Capable
5
______1. Feelings of inadequacy.
______2. Feeling of being on the edge of losing emotional control.
______3. Worries about personal vulnerability.
______4. Feelings of helplessness.
______5. Restlessness.
______6. Feelings of rage.
______7. To not "lose it" emotionally.
______8. My anger toward the persons responsible for the shooting.
______9. Being strong emotionally.
______10. Feelings of anxiety.
______11. Sad feelings.
______12. Depressive feelings.
______13. Feelings of grief.
6
7
I'm totally
Capable