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About Us
Residential Program
IOP
Our Team
Testimonials
Resources
Our Approach
Functional Medicine
Ketamine Therapy
Therapies
Addiction Program
Activities
Mental Health Program
Trauma
Anxiety
Depression
ADHD
Bipolar
Addiction Program
Alcohol
Benzodiazepines
Opiates
Cocaine
Amphetamine
Marijuana
Heroin
Hallucinogens
Barbiturates
Adderall
Admissions
What To Bring
FAQs
Verify Insurance
Blog
Products
(801) 499-9316
PTSD/CPTSD Quiz
At Maple Mountain Wellness
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PTSD/CPTSD Quiz
Step
1
of
9
11%
Hidden
1
1. Had nightmares about the event(s) or thought about the event(s) when you did not want to?
(Required)
Yes
No
Hidden
2
2. Tried hard not to think about the event(s) or went out of your way to avoid situations that reminded you of the event(s)?
(Required)
Yes
No
Hidden
3
3. Been constantly on guard, watchful, or easily startled?
(Required)
Yes
No
Hidden
4
4. Felt numb or detached from people, activities, or your surroundings?
(Required)
Yes
No
Hidden
5
5. Felt guilty or unable to stop blaming yourself or others for the event(s) or any problems the event(s) may have caused?
(Required)
Yes
No
Hidden
6
6. Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. Have you experienced this type of event?
(Required)
Yes
No
Hidden
7
7. Do you frequently have feelings of worthlessness, shame, or guilt?
(Required)
Yes
No
Hidden
8
8. Do you have difficulty controlling your emotions or are unable to identify where your emotions are coming from?
(Required)
Yes
No
Name
(Required)
First
Last
Email
(Required)
Phone
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