Online Childhood Trauma Questionnaire
An online childhood trauma questionnaire is a questionnaire which is meant to understand the situation and position of a person’s childhood trauma condition. Such questionnaires are really important to understand the trends of the reasons for trauma in the childhood of different people.
Sample online childhood trauma questionnaire:
Name: ______________
Age: ________________
Address: ____________________
Email address: ______________
Contact number: ____________________
Q1. What kind of a childhood did you have in general?
______________________________
Q2. Do you have more of happy childhood memories or sad ones?
____________________________
Q3. Were both your parents alive during your childhood?
__________________________
Q4. Did you live with your parents during your childhood years?
__________________________
Q5. Which is your fondest childhood memory?
_________________________
Q6. Which is the saddest or traumatised childhood memory that you have?
______________________________
Q7. Were you a happy kid during childhood years?
_______________________________
Q8. Were you beaten in your childhood?
_____________________________
Q9 Were you bullied by your friends or anyone else during your childhood years?
________________________________
Q10. Mention the names of people who you were not very fond of during your childhood?
_________________________________________
Q11. Is there any major trauma related with your childhood that you would like to share with us?
______________________________________
Q12. Were you sexually assaulted on any occasion during your early years?
_________________________________________
Q13. Were you physically harmed during your early years?
____________________________________________
Q14. How did you cope with the trauma (if any) during your childhood years?
___________________________________
Q15. Did the trauma made you dull and inactive in any manner?
_________________________
Q16. Give details of your trauma (if any)
____________________________________________________
Category: Online Questionnaire