PCL-5: PTSD Checklist for DSM-5

20-item self-report measure of DSM-5 PTSD symptom severity. ≈ 5 min to complete. Free with attribution.

trauma 20 items ≈ 5 min Updated 2026-05-06

Score PCL-5 below → Download printable PDF View source paper (DOI)
What is PCL-5? PCL-5 (PTSD Checklist for DSM-5) is a validated instrument used to assess 20-item self-report measure of dsm-5 ptsd symptom severity.. It is used in 20-item self-report measure of dsm-5 ptsd symptom severity.. It comprises 20 items. Administration takes about 5 min.

What is PCL-5?

PCL-5 (PTSD Checklist for DSM-5) is a validated clinical instrument used to assess 20-item self-report measure of dsm-5 ptsd symptom severity.. It is most often used for 20-item self-report measure of dsm-5 ptsd symptom severity.. The instrument contains 20 items. Typical administration time is ≈ 5 min.

Source / attribution: Free to use with citation

Clinical context: when PCL-5 is used

20-item self-report measure of DSM-5 PTSD symptom severity. PCL-5 is part of standard practice in this setting because it provides a structured, replicable assessment that can be tracked over time and compared across patients or visits.

Like all screening or assessment instruments, PCL-5 is a structured aid — not a diagnostic test in isolation. Results should be interpreted alongside history, examination, and clinical context. Where a score crosses an actionable threshold, the next step is typically a more detailed clinical evaluation rather than a definitive diagnosis.

Score PCL-5

Answer all 20 items below to see your PCL-5 score and interpretation.

Each item is scored on a 5-point scale (0–4). Your score updates live as you answer.

All scoring runs in your browser. No data is sent anywhere — close the tab and the answers are gone.

How PCL-5 is scored

Sum all 20 items scored 0-4. Total range 0-80. Score >= 33 suggests probable PTSD.

Scoring notes: Sum all 20 items scored 0-4. Total range 0-80. Score >= 33 suggests probable PTSD.

PCL-5 score interpretation

The cutoffs below are drawn from the published validation literature. Always interpret in clinical context.

Score rangeBandInterpretation
0–32Below cutoffMonitor
33–80Probable PTSDFurther evaluation

How to score PCL-5: a step-by-step worked example

This is an illustrative walkthrough, not a real patient. Follow the same four steps with your own answers — or use the live calculator at the top of this page.

Step 1 — Score each item

Read each question and choose the response that best fits. Each response has a number next to it — that number is the item's score. The example below uses illustrative answers.

#ItemExample responseScore
1Repeated, disturbing, and unwanted memories of the stressful experienceQuite a bit3
2Repeated, disturbing dreams of the stressful experienceQuite a bit3
3Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)Quite a bit3
4Feeling very upset when something reminded you of the stressful experienceQuite a bit3
5Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)Quite a bit3
6Avoiding memories, thoughts, or feelings related to the stressful experienceQuite a bit3
7Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)Quite a bit3
8Trouble remembering important parts of the stressful experienceQuite a bit3
9Having strong negative beliefs about yourself, other people, or the worldQuite a bit3
10Blaming yourself or someone else for the stressful experience or what happened after itQuite a bit3
11Having strong negative feelings such as fear, horror, anger, guilt, or shameQuite a bit3
12Loss of interest in activities that you used to enjoyQuite a bit3
13Feeling distant or cut off from other peopleQuite a bit3
14Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)Quite a bit3
15Irritable behavior, angry outbursts, or acting aggressivelyModerately2
16Taking too many risks or doing things that could cause you harmQuite a bit3
17Being superalert or watchful or on guardModerately2
18Feeling jumpy or easily startledQuite a bit3
19Having difficulty concentratingModerately2
20Trouble falling or staying asleepQuite a bit3

Step 2 — Add up the scores

Add up all the item scores you noted in Step 1.

3 + 3 + 3 + 3 + 3 + 3 + 3 + 3 + … (items 9–20 sum to 33) = 57

Step 3 — Look up the band

Find the row in the interpretation table whose range contains your total:

Total = 57 falls between 33 and 80 → Probable PTSD

Step 4 — What does this mean clinically?

Probable PTSD. Further evaluation

A score is one input alongside history and examination. PCL-5 supports clinical judgment — it does not replace it.

Score PCL-5 with your own answers above →

PCL-5 psychometric properties

Psychometric figures are drawn from the validation literature and may vary across clinical populations and translations.

Limitations & common pitfalls

How PCL-5 compares to other trauma scales

If PCL-5 doesn't fit your context, related instruments in trauma include:

ScaleMeasuresItemsTime
IES-R22-item self-report measure of post-traumatic stress symptoms.22≈ 5 min
PCL-C17-item civilian version of PTSD Checklist based on DSM-IV.17≈ 5 min
LEC-517-item self-report measure of exposure to potentially traumatic events.17≈ 3 min
PHQ-9Severity of depression9≈ 3 minutes
GAD-7Severity of generalized anxiety7≈ 2 minutes
AUDIT10-item WHO screening tool for hazardous alcohol consumption and dependence.10≈ 3 min
CHA2DS2-VAScAnnual stroke risk in non-valvular atrial fibrillation8—
Glasgow Coma ScaleLevel of consciousness after head injury3—

Frequently asked questions about PCL-5

What does PCL-5 measure?

PCL-5 (PTSD Checklist for DSM-5) is a validated instrument that assesses DSM-5 PTSD symptom severity. It is designed for clinicians, medical students, evidence-synthesis researchers. It takes about 5 min to complete, and the 20 items are summed to produce a total score.

How long does PCL-5 take to complete?

PCL-5 typically takes about 5 min to administer. The exact duration varies a little depending on whether it is self-administered or completed with a clinician. Its brief format is part of what makes it practical for routine clinical use and for repeat administration when tracking change over time.

How many items are on PCL-5?

PCL-5 contains 20 items. Item scores are summed to produce the total. Scores run from 0 to 80, grouped into 2 interpretation bands from ‘Below cutoff’ up to ‘Probable PTSD’.

What is a high PCL-5 score?

On the PCL-5 (total score 0–80), scores of 33–80 fall in the ‘Probable PTSD’ band — interpreted as: Further evaluation. The full ladder is: 0–32 — Below cutoff: Monitor.; 33–80 — Probable PTSD: Further evaluation. A higher score reflects a more severe presentation, and crossing a cutoff is a prompt to step up assessment or care — but these bands are screening thresholds, not diagnoses.

What is a low PCL-5 score?

Scores of 0–32 fall in the ‘Below cutoff’ band: Monitor. A low score is reassuring but does not by itself rule out the underlying condition — if symptoms or clinical suspicion persist, reassess over time or use a complementary evaluation rather than relying on the number alone.

How reliable is PCL-5?

PCL-5 has reported Cronbach's α of 0.96 in validation samples and test–retest reliability of 0.84. Excellent psychometric properties; aligned with DSM-5 criteria. In practical terms, a Cronbach’s α around 0.96 indicates excellent internal consistency (the items hang together well), and a test–retest reliability of 0.84 means scores are strongly stable when the scale is repeated without real clinical change.

Is PCL-5 free to use?

PCL-5 is free to use with attribution — clinical, educational, and research use is permitted provided the original source is credited. If you publish results or reproduce the scale, include the citation to the source paper.

What is the source paper for PCL-5?

Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). National Center for PTSD. This is the original publication for the PCL-5 — the reference to cite when reporting results.

Can PCL-5 replace clinical judgment?

No. PCL-5 is a structured assessment aid, not a diagnostic test. Its proper role is clinical assessment of DSM-5 PTSD symptom severity — it standardizes assessment and flags who needs closer evaluation, but the result must be weighed alongside history, examination, and clinical context. When a score conflicts with your clinical impression, clinical judgment takes precedence; treatment decisions should never rest on a screening score alone.

References & validation

PCL-5 is supported by the following peer-reviewed sources: