SURVEY FORM

Date

………………………

Age

……………………..

Sex

-Male

-Female

Education level

-Primary

-Middle school

-High school

-University

Rank

………………………

Which attack were you involved in?

-Night assault

-Ambush

-Mine explosion

Date of the attack on your team

………………………

Were you injured on this occasion?

-Yes

-No

if so, what are your injuries

Do you have any comrades who died during the attack?

-Yes

-No

What illnesses have you already suffered from in your life?

Do you usually drink alcohol?

-Yes

-No

if so, at what frequency

Are you accustomed to smoking cigarettes or other psychoactive substances?

-Yes

-No

if so, which ones and how often