Scared Evaluation Form - Child Version

Scared Evaluation Form - Child Version

Use anxiety related disorders checklist form well detailed scared evaluation checklist to let child fill in so that you can be able to diagnose the child's anxiety disorder. Form Preview
  • Screen for Child Anxiety Related Disorders (SCARED) Child Version (To be filled out by the Child)

  •   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
    2. When I feel frightened, it is hard for me to breathe
    3. I don’t like to be with people I don’t know well
    4. I get scared if I sleep away from home
    5. I worry about other people liking me
    6. When I get frightened, I feel like passing out
    7. I am nervous
    8. I follow my mother or father wherever they go
    9. People tell me that I look nervous
    10. I feel nervous with people I don’t know well
    11. My I get stomachaches at school
    12. When I get frightened, I feel like I am going crazy
    13. I worry about sleeping alone
    14. I worry about being as good as other kids
    15. When I get frightened, I feel like things are not real
    16. I have nightmares about something bad happening to my parents
    17. I worry about going to school
    18. When I get frightened, my heart beats fast
    19. I get shaky
    20. I have nightmares about something bad happening to me
    21. I worry about things working out for me
    22. When I get frightened, I sweat a lot
    23. I am a worrier
    24. I get really frightened for no reason at all
    25. I am afraid to be alone in the house
    26. It is hard for me to talk with people I don’t know well
    27. When I get frightened, I feel like I am choking
    28. People tell me that I worry too much
    29. I don’t like to be away from my family
    30. I am afraid of having anxiety (or panic) attacks
    31. I worry that something bad might happen to my parents
    32. I feel shy with people I don’t know well
    33. I worry about what is going to happen in the future
    34. When I get frightened, I feel like throwing up
    35. I worry about how well I do things
    36. I am scared to go to school
    37. I worry about things that have already happened
    38. When I get frightened, I feel dizzy
    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)
    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
    41. I am shy
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