Combat Exposure Scale (CES) Test

How the Scales are Structured
Who Usually Takes This Test?
See How You Compare
Below is a preview of how scores are typically distributed across each scale.
Example Questions From the Test
- never
- 1–2 times
- 3–12 times
- 13–50 times
- more than 50 times
- never
- less than 1 month
- 1–3 months
- 4–6 months
- more than 6 months
- never
- 1–2 times
- 3–12 times
- more than 12 times
Combat Exposure Scale (CES) Test - Description and methodology of the test
People deciding whether to examine their military service may use this questionnaire to compare experiences involving danger, enemy fire, casualties, and direct combat. The Combat Exposure Scale (CES) Test shows how those situations contribute to a structured account of wartime involvement. As a combat exposure assessment, it can help readers decide which parts of their service history warrant closer reflection.
What This Assessment Explores
Rather than asking about symptoms, this questionnaire focuses on combat circumstances. Its items cover missions, time under enemy fire, being surrounded, unit casualties, firing on an enemy, witnessed harm, and personal danger. The combat exposure questionnaire suits readers seeking a wartime account rather than a mental-health profile.
The total, Combat Exposure Intensity (0-26), is a quantitative index of combat-exposure intensity and the degree of impact of combat events; higher scores indicate greater combat involvement. Its displayed bands are Low exposure 0-8, Moderate exposure 9-17, and High exposure 18-26. The questions revisit four recurring themes:
- Dangerous missions show exposure to situations where serious injury or death was possible.
- Duration and entrapment reflect time under enemy fire or being surrounded.
- Loss and witnessed harm cover unit casualties and witnessed deaths or injuries.
- Personal threat captures attacks, ambushes, and immediate danger.
Methodology and Scientific Basis
Its response format uses ordered numerical choices, but the anchors vary with the situation being rated. Depending on the item, a respondent reports frequency of dangerous missions, months under enemy fire, the proportion of unit casualties, or the number of times particular events occurred. Numeric selections contribute to a single displayed total, with a higher total indicating greater reported combat involvement.
The questionnaire is conceptually consistent with the published Combat Exposure Scale developed by Lund and colleagues, and the 1989 Keane study evaluated combat exposure in clinical research. As a combat exposure measure, this tool shares the published construct of estimating combat intensity, but it is not presented as a direct adaptation of that work. The displayed bands are used to interpret the total.
Retrospective self-report can be shaped by memory, personal interpretation, and current context. The score is therefore most useful as one organized account of wartime exposure, especially when the respondent considers the events behind the total rather than treating the category as a complete psychological profile.
- Lund, M., Foy, D. W., Sipprelle, C. N., & Strachan, A. M. (1984). The Combat Exposure Scale: A systematic assessment of trauma in the Vietnam War. Journal of Clinical Psychology, 40(6), 1323-1328. 10.1002/1097-4679%28198411%2940%3A6%3C1323%3A%3AAID-JCLP2270400607%3E3.0.CO%3B2-I
- Keane, T. M., Fairbank, J. A., Caddell, J. M., Zimering, R. T., Taylor, K. L., & Mora, C. A. (1989). Clinical evaluation of a measure to assess combat exposure. Psychological Assessment, 1(1), 53-55. 10.1037/1040-3590.1.1.53
Updated: