And, that's if pronounced reactions to trauma reminders occurred, if there was a traumatic stress reaction, if trauma included penetrating injury or sexual assault, if at least one major traumatic experience occurred before the age of three, or if there are attachment problems, but you're not sure if trauma occurred before the age of three, and then the last two areas are if a child or caregiver really identify trauma as the key issue for that child or if problems have worsened after the trauma. 