Compared with before the accident, do you now (i.e, over the last 24 hours) suffer from:
Archives
Sleep Disturbance
Compared with before the accident, do you now (i.e, over the last 24 hours) suffer from:
Noise Sensitivity, easily upset by loud noise
Compared with before the accident, do you now (i.e, over the last 24 hours) suffer from:
Nausea and/or vomiting
Compared with before the accident, do you now (i.e, over the last 24 hours) suffer from:
Feelings of Dizziness
Compared with before the accident, do you now (i.e, over the last 24 hours) suffer from:
Nervousness
Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.
Sadness
Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.
Irritability
Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.
Drowsiness
Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.
Fatigue or low energy
Please indicate how much each symptom has bothered you over the past 2 days on a scale from 0-6 zero being none & 6 being severe.