Screen for Child Anxiety Related Disorders (SCARED) Child Version (To be filled out by the Child)
Child's Name
First Name
Last Name
Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
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5
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14
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16
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22
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25
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27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
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1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Chose the number that best describe the child's behavior over the past 6 months
Rows
Not true or hardly ever true
Somewhat true or sometimes true
Very true or often true
1. When I feel frightened, it is hard for me to breathe
1
2
3
2. When I feel frightened, it is hard for me to breathe
4
5
6
3. I don’t like to be with people I don’t know well
7
8
9
4. I get scared if I sleep away from home
10
11
12
5. I worry about other people liking me
13
14
15
6. When I get frightened, I feel like passing out
16
17
18
7. I am nervous
19
20
21
8. I follow my mother or father wherever they go
22
23
24
9. People tell me that I look nervous
25
26
27
10. I feel nervous with people I don’t know well
28
29
30
11. My I get stomachaches at school
31
32
33
12. When I get frightened, I feel like I am going crazy
34
35
36
13. I worry about sleeping alone
37
38
39
14. I worry about being as good as other kids
40
41
42
15. When I get frightened, I feel like things are not real
43
44
45
16. I have nightmares about something bad happening to my parents
46
47
48
17. I worry about going to school
49
50
51
18. When I get frightened, my heart beats fast
52
53
54
19. I get shaky
55
56
57
20. I have nightmares about something bad happening to me
58
59
60
21. I worry about things working out for me
61
62
63
22. When I get frightened, I sweat a lot
64
65
66
23. I am a worrier
67
68
69
24. I get really frightened for no reason at all
70
71
72
25. I am afraid to be alone in the house
73
74
75
26. It is hard for me to talk with people I don’t know well
76
77
78
27. When I get frightened, I feel like I am choking
79
80
81
28. People tell me that I worry too much
82
83
84
29. I don’t like to be away from my family
85
86
87
30. I am afraid of having anxiety (or panic) attacks
88
89
90
31. I worry that something bad might happen to my parents
91
92
93
32. I feel shy with people I don’t know well
94
95
96
33. I worry about what is going to happen in the future
97
98
99
34. When I get frightened, I feel like throwing up
100
101
102
35. I worry about how well I do things
103
104
105
36. I am scared to go to school
106
107
108
37. I worry about things that have already happened
109
110
111
38. When I get frightened, I feel dizzy
112
113
114
39. I feel nervous when I am with other children or adults and I have to do something while they watch me (for example: read aloud, speak, play a game, play a sport)
115
116
117
40. I feel nervous when I am going to parties, dances, or any place where there will be people that I don't know well
118
119
120
41. I am shy
121
122
123
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