What year(s) were you deployed to Iraq or Afghanistan in support of OEF and/or OIF?

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

2001 2002 2003 2004 2005 2006 2007 2008 2009

During your deployment(s) were you exposed to any significant blasts, explosions, over-pressures, head trauma, accident or other

concussive event?

Yes, 57%

No, 43%

0 1 2 3 6 7 10

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

How many total times were you exposed to blasts or concussive forces while deployed to Iraq or Afghanistan?

While deployed were you ever exposed to any of the following explosive overpressure (concussive) sources?

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%

Tank or artilleryfiring in an

enclosed space(alley etc)

Roadside bombor IED

Explosive frommortar or

artillery shell(fired)

Vehicle-borneIED

Explosively-formed

projectile

IED or grenadein an enclosedspace (room

etc)

What was the primary cause of the explosive or concussive force you experienced?

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

120.0%

Explosive device, bomb,shell, grenade

Gunshot Weapon firing (tank,artillery, mortar, AT-4 etc)

From the time of blast to 48 hours post-blast, symptoms experienced.

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

Heada

che

Hearin

g los

s

Ringin

g in e

ars

Dizzine

ss

Disorie

ntati

on

Memor

y pro

blems

Poor

conc

entra

tion

Slowed

think

ing

Loss

of ba

lance

Feeli

ng th

at yo

u wer

e mov

ing w

hen

you

were s

til

Anxie

ty

Para

noia

Feeli

ng "D

azed

and c

onfu

sed"

Sleep

prob

lems

Any l

oss o

f con

sciou

snes

s, no

matt

er ho

w long

As a result of the explosion, blast or concussive force I experienced changes in: (check all that apply)

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

Problemsolving

Controllingmy behavior

Personality Awareness ofmy limitations

Speaking Attention Concentration

Did you experience any of these changes in THINKING after you were exposed

to the force of a blast?

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

120.0%

Memory Attention Concentration Thoughtprocessing

Language,communicating

Problem solving

Did you experience changes in any of the following PERSONALITY and BEHAVIORAL areas? (How were you different after the blast exposure?) (check all that apply)

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

Depres

sion

Mood s

wings

Emot

ional

cont

rol

Inab

ility t

o co

ntrol

remark

s, co

mments

Perso

nality

chan

ge

Sexu

al ina

ppro

priat

enes

s

Short

tempe

r

Redu

ced s

elf-e

steem

Difficu

lty re

lating

to ot

hers

Difficu

lty in

relat

ionsh

ips

Stres

s

Anxie

ty

Frustr

ation

Redu

ced t

oleran

ce of

frus

tratio

n

Did any members of your unit comment that you acted differently after exposure to the trauma?

Yes57%

No43%

As a result of the explosion, blast or concussive force I experienced changes in:

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

Memory Hearing Organizationand

sequencing

Balance Coordination Wake/sleepcycle

Did you experience any of the following PHYSICAL changes after you

were exposed to a blast?

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

Balance Vision Ringing inears

Tremor Weakness Fatigue

From the time of blast exposure to today. Please check the symptoms YOU CONTINUE TO EXPERIENCE that are directly related to the blast.

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

Headach

e

Hearing

loss

D izzin ess

Ringing

in ear

s

A ltered

menta l s

tat

Memory

probl

em

Poor c

oncent

ratio Fat

igue

Anx iety

Depress

ion

Feelin g "

Dazed a

nd conf

u se

Sleep

proble

ms

Please check the area(s) of your life that are different due to the symptoms YOU CONTINUE TO EXPERIENCE.

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

120.0%

Divorce

Socia

l isola

tion

Depres

sion

PTSD

Anxie

ty

Alcoh

ol ab

use

Sadn

ess

Low se

lf este

em

Beha

viora

l issu

es

Inab

ility t

o thi

nk cl

early

Emba

rrass

ment

I believe I am still experiencing changes in the following PERSONALITY and BEHAVIORAL areas.

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

Depres

sion

Mood s

wings

Emot

ional

cont

rol

Short

tempe

r

Redu

ced s

elf-e

steem

Difficu

lty re

lating

to ot

hers

Difficu

lty in

relat

ionsh

ips

Stres

s

Anxie

ty

Frustr

ation

Redu

ced t

oleran

ce of

frus

tratio

n

Do any members of your family comment that you act differently after exposure to the trauma?

Yes

No

I am experiencing the following.

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

Dreams o

f the

even

t

Flash

back

s

Intru

sive t

houg

hts

Avoid

ance

of t

houg

hts o

r fee

lings

Detach

ment

Inso

mnia

Irrita

bility

Easil

y sta

rtled

Alway

s on g

uard

As a result of the explosion, blast or concussive force I continue to experience

changes in:

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%

Decrea

sed i

ntere

st in

sex

Prob

lem so

lving

Judg

ment

Cont

rollin

g my b

ehav

ior

Perso

nality

Awar

enes

s of m

y lim

itatio

ns

Spea

king

Atten

tion

Conc

entra

tion

As a result of the explosion, blast or concussive force I still notice changes in:

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%

Memor

y

Hearin

g

Sens

e of t

ouch

Vision

Balan

ce

Coor

dinati

on

Brea

thing

Wak

e/sle

ep cy

cle

I am still experiencing the following PHYSICAL changes.

0.0%10.0%

20.0%30.0%

40.0%50.0%

60.0%70.0%

80.0%90.0%

Balance Vision Tremor Speech Weakness Fatigue

I am experiencing these changes in THINKING.

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

Memor

y

Atten

tion

Conc

entra

tion

Thou

ght p

roce

ssing

Prob

lem so

lving

Self-

perce

ption

Persi

stenc

e