Dissociative Experien ces Scale II (DES rr) Name: Date: ---.- Age: Sex: M F This questionnaire consists of 28 questions about experiences that you may have in your daily life. We are interested in how often you have these experiences. it is importang however, that your answers show how ofrten these experiences happen to you when ybu are not under the influence of alcohol or drugs. To answer ihe questionsfplease determineto what degre€ the experience described in the question applies to you and,circle the number to show what percentage of the time you have the experience. Example: OVo 10 (never) 1. 40 50 60 70 80 90 lffiVo 40 s0 60 70 80 90 roo% 10 Some people have the experience of findingthemselves in a place and havingno idea how they got there. Circle a number to show what percentage of the time this happens to you. 10 Oo/o 4. 2n Some people find that sometimes they are listening to sonr€one talk and theysuddenly realize that they did not hear part or all of what wai said. Circle a number toitrow whit percentage of the time this happens to you. OVo 3. LAOo/o (always) Some people have tfre experience of driving or riding in a car or bus or subway and suddenly real2ing that they don't remember what has happened during all orpart of the trip. cirde a number to show what percentage of the time this happens to you. o% 10 2. ZO 30 40 50 60 70 80 90 20 50 60 70 80 90 100% Some people have the experierrce of finding themselves dressed in clothes that they don't remember putting on. Circle a number to show what percentage of the time this hippens to you. oo/o 5. 10 20 30 40 s0 60 70 80 ?: 10oso 'S9me people have the experience of finding new thingp among their belongings that they do not remember buylng. Circle a number to showwhat percentage of the Ume tnis happens to :6 you. OVo 10 20 30 40 50 60 70 80 90 TOOo/o nferNelson understanding potential Some pmple sometimes find that they are approached.lypeople who they do not know who call them by an.other name or iniist ttrifthey nat'ffi-et them before. Circle a number to show what percentage of the time this happens to you. OVo 10 20 30 40 50 60 TO 80 90 t}}o/o Some people sometimes have the experience of feeling as though they are standing next to themselves or watching themselves do something and they actually see themselvei as if theywere looking at another,person. Circle a number to show what percentage of the time this happens to you. 7. . OVo 10 20 30 40 50 60 ZO 80 90 IO}Vo told that theysonietimes do not recognize triends or familymembers. circle a number to showwhat p€rc€ntage of the tirne this happens to you. Son.e people are r0 90 ; I I II I 700% I find that they have no memory for some important events in tlreir lives (for elample, a weddingor graduation). Circle a number tb show what percentag€ of the time this happens to you. 9. Some people OVo 10. 10 20 30 40 50 60 70 80 90 100yo people have the experience of being accused of lying when they do not think that T*. -ttrh they harre lied. Circle a number to show what per€entage of the time OVo E E E G happens to you. 10 20 30 40 50 60 TO g0 90 10ogo E G 11. S-9-: people have the experience of looking in a mirror and not recognizing themselves. circle a number to show what percentage of the time this happens to you. 10 20 30 40 50 60 70 80 90 7@Vo Some people have the experience of feeLing ttrat ottrer people, obiects, and the world around them are not real. Circle a number to show whatpercentage of the time this happens to you. @/o 10 20 30 40 50 60 70 80 90 1009o 13. Some people have the experience of feeling that their body does not se€m to blong to them. circle a number to show what percentage oI the time this happens to you. OVo 14. 10 20 30 40 50 60 70 .80 90 l00Vo people have the experience of sometimes remembering a past event so vividlythat they feel as if they were reliving that event. Circle a number io show what percentage of the time this happens to you. S-ome" OVo. 10 20 30 40 50 60 70 80 90 t0fr/a G E E E E E E € F E E E E g E Dissociative Experiences Scale ll (DES ll) E E 15. Some people have the experience of not being sure whether things that they remember happening really did happen or whether they iust dreqmed them. CirCle a number to show what percentage of the time this happens to you. .Y / rl I I | t 0o/o I |ffio/o 16. Some people have the experience of being in a familiar place but finding it strange and unfamiliar. Circle a number to show what percentage of the time this happens to you. Oo/o L0 20 30 40 50 60 70 80 90 7Wo/o 17. Some people find that when they are watching television or a movie they become so absorbed in ttrc story that they are unaware of other events happening around tlrem. Circle a number to show what percentage of the time this happens to you. I I 10 20 30 40 50 60 70 80 90 OVo 10 20 30 40 50 60 70 80 9O 1009o 18. Sonie people find that they become so involved in a fantasy or daydream that it feels as though it were really happening to them. Cirde a number to show what percentage of the time this happens to you. I OVo 10 20 30 40 50 60 70 80 90 1009o I I 19. lSome people find that they sometimes are able to ignorepain. Circle a number to show what percentage of the time this happens to you. I I o% 10 20 30 40 s0 60 70 80 90 100% 20. Some'people find that they sometimes sit staring off into not aware of the passage of time. Circle this happens to you. are I I I Oo/o 21. t I I l I I I 22. 10 20 30 '4O 50 60 70 80 90 lffio/o find that when they are alone they talk out loud to themselves. Circle a number to show what p€rcentage of the time this happens to you. 10 20 30 40 50 60 70 80 90 IOOVo find that in one situation they may act so differently compared wift another situation that they feel almost as if they were two different people. Circle a number to show what percentage of the time this happens to you. i Some people Oo/o 10 20 30 40 50 60 70 80 90 10O9o 23, Some people sometimes find that in certain situations they are able to do things with amazing ease and spontaneity that would usually be difficult for them (for example, sports, wor\ social situations, etc.). Circle a number to show what percentage of th€ time this ' happens to you. OVo I space, thinking of nothing, and number to show what.perc-entage of the time Some people sometim€s OVo I a 10 20 30 40 '50 60 70 80 90 10O% I I I I I Dissociative Experiences Scale ll (DES ll) e 24. find that they cannot remember whether they have done something or have iust thought about doing that thing (*o, example, not knowing whether they have mailed a letter or have iust thought about maffig it). Circle a number to show rvhat percentage of the time this happens to you. Some people sometimes OVo 25. find evidence that they have done things that they do not remember doing. Circle a number to show what percentage of the time this happens to you. Some people Oo/o 26. l.No/o 10 20 30 40 50 60 70 80 90 10O9o Some people sometimes flnd that they hear voices inside their head that tell them to do things or comment on thinp that they are doing. Cirde a number to show what percentage of the time this happens to you. OVo 28. 10 20 30 40 50 60 " 70 80 90 Some people sometimes find writings, drawings, or notes among their belongings that they must have done but cannot remember doing. Circle a numbbr to show what percentage of the time this happens to you. OVo 27. 10 20 30 40 50 60 70 80 90 LOOVo 10 20 30 40 50 60 70 80 90 IOOVo Some people sometimes feel as if they are looking at ttre world through a fog so that people and objects appear far away or undear. Circle a number to show what p€rcentage of the time this happens to you. OVo 10 20 30 40 50 60 70 80 90 lOO9o -g F H e t F ae F rt F td F E E fi E E E E E E E fr tr E E E & E & E E @ 1993, Cadson and Putnam This nreasure is partot Mmwresin PostTroumotkStress Disqdq: A Proctitioner's Guideby StuattTumer and Deborah [ee- Orrce the invoke has been paid, it may be photocopied for use within the pudnsing institution only. Published by nfeNelson Publishing{ompany Ltd The Chiswick Centre, 414 Chiswick High Roa4 W4 5TF, U|C nferNelson is a dMsion of Granada Leaming Umite4 part of Granada plc. E H E Code 0090006858 G Dissociative Experiences Scale ll(DES ll) F F