Scared Evaluation Form- Parent Version

Scared Evaluation Form- Parent Version

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

  •   Not true or hardly ever true Somewhat true or sometimes true Very true or often true
    1. When my child feels frightened, it is hard for him/her to breathe
    2. My child gets headaches when he/she is at school
    3. My child doesn’t like to be with people he/she doesn’t know well
    4. My child gets scared if he/she sleeps away from home
    5. My child worries about other people liking him/her
    6. When my child gets frightened, he/she feels like passing out
    7. My child is nervous
    8. My child follows me wherever I go
    9. People tell me that my child looks nervous
    10. My child feels nervous with people he/she doesn’t know well
    11. My child gets stomachaches at school
    12. When my child gets frightened, he/she feels like he/she is going crazy
    13. My child worries about sleeping alone
    14. My child worries about being as good as other kids
    15. When he/she gets frightened, he/she feels like things are not real
    16. My child has nightmares about something bad happening to his/her
    parents
    17. My child worries about going to school
    18. When my child gets frightened, his/her heart beats fast
    19. He/she gets shaky
    20. My child has nightmares about something bad happening to him/her
    21. My child worries about things working out for him/her
    22. When my child gets frightened, he/she sweats a lot
    23. My child is a worrier
    24. My child gets really frightened for no reason at all
    25. My child is afraid to be alone in the house
    26. It is hard for my child to talk with people he/she doesn’t know well
    27. When my child gets frightened, he/she feels like he/she is choking
    28. People tell me that my child worries too much
    29. My child doesn’t like to be away from his/her family
    30. My child is afraid of having anxiety (or panic) attacks
    31. My child worries that something bad might happen to his/her parents
    32. My child feels shy with people he/she doesn’t know well
    33. My child worries about what is going to happen in the future
    34. When my child gets frightened, he/she feels like throwing up
    35. My child worries about how well he/she does things
    36. My child is scared to go to school
    37. My child worries about things that have already happened
    38. When my child gets frightened, he/she feels dizzy
    39. My child feels nervous when he/she is with other children or adults and he/she has to do something while they watch him/her (for example: read aloud, speak, play a game, play a sport)
    40. My child feels nervous when he/she is going to parties, dances, or any place where there will be people that he/she don't know well
    41. My child is shy
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