Short Health Anxiety Inventory (SHAI) Test

In 7 minutes, gauge health-related worry and avoidance patterns. Use results to spot clinically meaningful health anxiety, track change over time, and guide care planning.
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Questions377 minutes
Hi! My name is Freudly, i am an AI therapist, I will give you an interpretation of the test after you complete it.
08:30
October 2, 2025
October 2, 2025
Material has been updated
17,884 views
1,738 completions
1,503 likes
Verified by Daniel Hall
Psychologist with 25 years of experience
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How the Scales are Structured

example score
46/72
Reassurance Seeking (RS)
Measures how often a person seeks reassurance or confirmation that they do not have an illness or health risk.
Low
Moderate
High
08Low922Moderate2372High
A score of 46 falls in the High range, suggesting frequent reassurance-seeking to reduce health-related concerns.
example score
54/80
Avoidant Behavior (AB)
Measures the extent to which a person avoids situations or activities due to perceived health threats.
Low avoidance
Moderate avoidance
High avoidance
08Low avoidance927Moderate avoidance2880High avoidance
A score of 54 falls in the High avoidance range, suggesting a pronounced tendency to use avoidance strategies in response to perceived health risks.
example score
4/12
Negative Consequences Block (NCB)
Assesses how strongly a person worries about potential negative consequences or complications of illness.
Low concern
Moderate concern
High concern
02Low concern36Moderate concern712High concern
A score of 4 falls in the Moderate concern range, suggesting a noticeable but not pervasive focus on possible negative health outcomes.
example score
35/42
Core Block (CB)
Assesses the overall intensity of health-related anxiety, including worries about illness and a tendency to amplify bodily symptoms.
Low
Moderate
High
04Low513Moderate1442High
A score of 35 falls in the High range, suggesting pronounced and frequent health-related worry and heightened attention to symptoms.
example score
48/54
Total Score (TS)
Measures overall intensity of health-related worry and associated preoccupation with bodily symptoms.
Low
Typical
High
06Low719Typical2054High
A score of 48 falls in the High range, indicating very pronounced health-related worry and frequent preoccupation with health concerns.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

People with frequent symptoms
41%OF USERS
They often notice bodily sensations and want to understand whether worry is driving repeated checking, reassurance-seeking, or avoidance.
Patients with chronic illness
34%OF USERS
They live with a real medical condition and want to see how much health-related fear is adding extra stress beyond the illness itself.
Parents of anxious teens
25%OF USERS
They suspect their 9–17-year-old worries excessively about health and want a clearer picture of the intensity and patterns of that anxiety.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
RESULTS YOU CAN ACTUALLY USE

Scale Results
— Explained Clearly
Your scores across each test scale are translated into plain, usable insights. You won’t just get numbers — you’ll learn how your results impact your daily life, emotional state, and overall well-being.
AI-Powered
Interpretation
You’ll receive a structured, clinically-grounded explanation. Our AI analyzes patterns and relationships between scales to provide a coherent interpretation, without exaggerated language.
Statistical
Comparison
See how your results compare to others. Anonymized platform data is used to create a percentile scale, which identifies whether your results are typical.
Practical
Recommendations
You’ll receive clear, actionable guidance tailored to your profile. These easy-to-implement suggestions focus on coping, self-regulation, and realistic next steps.
AI-Powered
Insights
Get insights on behavioral and thought patterns you might not notice on your own. By uncovering subtle connections between your responses, you’ll better understand what may be driving your current results.
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an AI Therapist
Clarify, reflect, and explore your results right away. Talk through your experience, ask questions, and explore meanings in a calm, non-diagnostic dialogue.
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Used in 52+ countries
Benchmarking

See How You Compare

Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Search for Affirmations (SfA)
Average
21.1
Normal range
9.832.4
min.
0
max.
72
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Avoidant Behavior (AB)
Average
47.2
Normal range
35.958.4
min.
0
max.
80
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Block of Negative Consequences (BoNC)
Average
3.2
Normal range
1.55
min.
0
max.
12
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Main block (Mb)
Average
21.1
Normal range
1527.2
min.
0
max.
42
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Total score (Ts)
Average
39.6
Normal range
32.746.6
min.
0
max.
54
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
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CLEAR ANSWERS TO COMMON QUESTIONS

Frequently Asked Questions

What does this questionnaire measure?
It measures the frequency and intensity of worry about health and related safety-seeking or avoidant behavior. It also reflects how these concerns affect daily functioning.
Who is this questionnaire intended for?
It is used with adults in clinical and nonclinical settings, including people with physical medical conditions. A separate version is available for children and adolescents ages 9–17.
How long does it take and how many items are included?
Completion typically takes about 7 minutes. The standard form includes 37 items.
How should responses be selected?
Select the option that best matches typical thoughts and behaviors, not a single unusual event. If uncertain, choose the closest option rather than leaving an item blank.
How are results used in practice?
Scores support screening, treatment planning, and monitoring change over time. Results should be interpreted alongside clinical interview and relevant medical information.
WHAT THE TEST MEASURES
About This Assessment
Health Anxiety Inventory (SHAI) Questionnaire Test

Short Health Anxiety Inventory (SHAI) Test - Symptoms and Signs

This self-report measure is designed to assess health-related anxiety and associated cognitive and behavioral features. The Short Health Anxiety Inventory (SHAI) can be used to support screening and clinical case formulation in medical and mental health contexts.

It consists of 37 items and typically takes about 7 minutes to complete. Items ask respondents to select statements that best reflect their recent health-related worries and responses, supporting quantification of symptom severity and monitoring over time.

Developed by S. Salkovskis and P. M. McCracken, the Short Health Anxiety Inventory (SHAI) is generally interpreted alongside clinical interview findings and other relevant assessment data.

Author: P. M. McCracken, S. Salkovskis
Literature: Abramowitz, J. S., Olatunji, B. O., & Deacon, B. J. Health anxiety, hypochondriasis, and the anxiety disorders. Behavior Therapy. 2007.; Taylor, S., & Asmundson, G. J. G. Treating health anxiety: A cognitive-behavioral approach. Guilford Press. 2004.; Salkovskis, P. M., Rimes, K. A., Warwick, H. M., & Clark, D. M. The health anxiety inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Medicine. 2002.
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