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Childhood Trauma Questionnaire - Short Form (CTQ-SF)

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Introduction

The Childhood Trauma Questionnaire (CTQ-SF) is a standardized self-report assessment designed to evaluate experiences of childhood trauma across five categories: Emotional Abuse, Physical Abuse, Sexual Abuse, Emotional Neglect, and Physical Neglect.


By completing this form, we will be able to better understand any traumatic experiences that may be affecting your mental and emotional well-being and standing in the way of your happiness. This assessment is not a diagnosis but rather a guide that provides valuable insights to help refine our therapeutic approach and create a customized plan tailored to your most important needs and goals.


Please take your time with each question and answer as honestly and openly as you can. There are no right or wrong answers—just your experience, which is valuable and important.

I look forward to our time together.

Warmly, Monika

Monika Grace, CCTP-II
Integrative Somatic Psychotherapist, Trauma Specialist, EMDR, IFS, SE, PSYCH-K
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What is your full name?

What is your email address?

Where are you located?

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Instructions

This short form contains 28 questions and uses a 5-point scale to assess the frequency and severity of traumatic experiences during childhood.

Please read each statement carefully and choose the number that best reflects your experience during childhood. There are no right or wrong answers. Your responses will help in understanding areas that may need attention and healing.

Rating Scale:
1 = Never true
2 = Rarely true
3 = Sometimes true
4 = Often true
5 = Very often true

Emotional Abuse:

1. People in my family called me things like “stupid,” “lazy,” "fat," or “ugly.”

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never trueVery often true

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

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

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

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

4. I felt that someone in my family hated me.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

5. I felt emotionally neglected or abandoned by my caregivers.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

Physical Abuse:

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

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

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

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

8. I was physically punished in a way that left me feeling hurt or scared.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

9. I was physically harmed in ways that made me feel unsafe at home.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

10. I was threatened with physical violence by someone in my family.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

Sexual Abuse:

11. Someone in my family touched me in a sexual way or made me touch them.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

12. I was forced to have sex or engage in sexual acts against my will.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

13. Someone in my family tried to make me do sexual things or watch sexual acts.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

14. I felt threatened or coerced into sexual activity.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

15. I was sexually abused by a family member or caregiver.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

Emotional Neglect:

16. I felt that my family did not support me or care about my feelings.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

17. My parents were too busy to spend time with me.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

18. I felt lonely and unsupported by my family.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

19. I felt that no one in my family loved me.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

20. I did not feel important or valued by my caregivers.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

Physical Neglect:

21. I did not have enough to eat or had to wear dirty clothes.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

22. My basic needs (food, shelter, hygiene) were often unmet.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

23. I had to take care of myself because no one else looked after me.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

24. I was left alone for long periods without supervision.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

25. My living environment was unsafe or unsanitary.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

Minimization/Denial:

26. I believe my childhood was completely free from abuse or neglect.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

27. I think my childhood experiences were normal compared to others.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true

28. I never felt mistreated or unsafe growing up.

In the past month, how often have you had repeated, disturbing, and unwanted memories of a traumatic event?
Never true Very often true
Thank you for completing this questionnaire. Your responses will be discussed during your next session to identify areas for support and healing.
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