CHILD TRAUMA QUESTIONAIRE (CTQ) – SHORT FORM

Directions: These questions ask about some of your experiences growing up as a child and a teenager. For each question, check the number that best describes how you feel. Although some of these questions are of a personal nature, please try to answer as honestly as you can. Your answers will be kept confidential.

1 Never
2 Rarely
3 Sometimes
4 Often
5 Very Often

When I was growing up……..

I didn't have enough to eat *

I knew that there was someone to take care of me and protect me *

People in my family called me things like "stupid", "lazy", or "ugly". *

My parents were too drunk or high to take care of the family. *

There was someone in my family who helped me feel important or special. *

I had to wear dirty clothes. *

I felt loved *

I thought that my parents wished I had never been born. *

I got hit so hard by someone in my family that I had to see a doctor or go to the hospital. *

There was nothing I wanted to change about my family. *

People in my family hit me so hard that it left me with bruises or marks. *

I was punished with a belt, a board, a cord (or some other hard object). *

People in my family looked out for each other. *

People in my family said hurtful or insulting things to me. *

I believe that I was physically abused. *

I had the perfect childhood. *

I got hit or beaten so badly that it was noticed by someone like a teacher, neighbour, or doctor. *

Someone in my family hated me. *

People in my family felt close to each other. *

Someone tried to touch me in a sexual way or tried to make me touch them. *

Someone threatened to hurt me or tell lies about me unless I did something sexual with them. *

I had the best family in the world. *

Someone tried to make me do sexual things or watch sexual things. *

Someone molested me (took advantage of me sexually). *

I believe that I was emotionally abused. *

There was someone to take me to the doctor if I needed *

I believe that I was sexually abused. *

My family was a source of strength and support. *

Child Trauma Questionaire (CTQ) Short Form

When I was growing up……..

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