Method for Diagnosing Parental Anxiety Test - the question form
Questions: 40 · 8 minutes
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Female form
1. I often feel nervous about my son/daughter.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
2. I usually feel in a low mood.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
3. I constantly worry about my son's (daughter's) future.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
4. I often feel worn out and emotionally drained.
1 – Not at all like me
2 – Not like me
3 – Hard to say
4 – Like me
5 – Very much like me
5. I constantly feel guilty, even though there is no reason for it.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
6. I am confident that my son (daughter) and I are true friends.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
7. I want my child to be like my wife in every way.
1 – Not at all like me
2 – Not like me
3 – Hard to say
4 – Like me
5 – Very much like me
8. I find it easy to get along with other people.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
9. By the end of the week, I feel completely exhausted.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
10. I feel that I am losing my child, but I cannot do anything about it.
1 – Not at all like me
2 – Not like me
3 – Unsure
4 – Like me
5 – Very much like me
11. As my son/daughter gets older, it becomes harder for me to communicate well with them.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
12. I think about my future with optimism.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
13. I am constantly afraid that something will happen to my son or daughter.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
14. I am afraid that my child is completely unprepared for life.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
15. I sleep well at night.
1 – Not at all like me
2 – Not like me
3 – Hard to say
4 – Like me
5 – Very much like me
16. When I think about my son (daughter), my mood immediately improves.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
17. People I know often say that I look worn out.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
18. I am confident that I can accomplish a lot in life.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
19. I often feel that I am a bad father.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
20. I am always in good physical shape.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
21. When I think about my son/daughter, I am constantly tormented by feelings of fear.
1 – Not like me at all
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
22. I constantly feel tense and find it difficult to relax.
1 – Not at all like me
2 – Not like me
3 – Unsure
4 – Like me
5 – Very much like me
23. I feel that I understand my son (daughter) well.
1 – Not at all like me
2 – Not like me
3 – Unsure
4 – Like me
5 – Very much like me
24. In the mornings, I almost always feel in a good mood.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
25. I often feel that life is passing me by.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
26. I often feel embarrassed about my son/daughter in front of people I know.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
27. I often feel disappointed or bored.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
28. I am afraid that my son/daughter will end up with the same life as mine.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
29. Lately, I have become more irritable.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
30. I do not get everything done; I constantly feel I do not have enough time.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
31. I am always thinking about what my son or daughter may have done while I was away.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
32. My son/daughter constantly makes me happy.
1 – Not at all like me
2 – Not like me
3 – Hard to say
4 – Like me
5 – Very much like me
33. I often feel intense anxiety for no clear reason.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
34. Lately, I have felt that other people tire me out.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
35. I constantly fear that my son/daughter will be disappointed in me.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
36. I often feel lonely.
1 – Not at all like me
2 – Not like me
3 – Hard to say
4 – Like me
5 – Very much like me
37. People around me think I am raising my son/daughter incorrectly.
1 - Not at all like me
2 - Not like me
3 - Not sure
4 - Like me
5 - Very much like me
38. I am troubled by nightmares.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
39. Constant worry about my son or daughter is completely exhausting for me.
1 – Not like me at all
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
40. I am confident that my son (daughter) will be able to cope with many of life’s problems.
1 – Not like me at all
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
1. I often feel nervous about my son/daughter.
1 – Not at all like me
2 – Not like me
3 – Unsure
4 – Like me
5 – Very much like me
2. I usually feel in a bad mood.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
3. I constantly worry about my son's (daughter's) future.
1 – Not at all like me
2 – Not like me
3 – Unsure
4 – Like me
5 – Very much like me
4. I often feel worn out and emotionally drained.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
5. I feel guilty all the time, even when there is no reason to.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
6. I feel confident that my son/daughter and I are true friends.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
7. I want my son (daughter) to be like my husband in every way.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
8. I find it easy to get along with other people.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
9. By the end of the week, I feel completely exhausted.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
10. I feel like I am losing my child, but I cannot do anything about it.
1 – Not at all like me
2 – Not like me
3 – Unsure
4 – Like me
5 – Very much like me
11. As my son/daughter gets older, it becomes harder for me to find common ground with him/her.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
12. I feel optimistic about my future.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
13. I constantly fear that something might happen to my son or daughter.
1 - Not at all like me
2 - Not like me
3 - Hard to say
4 - Like me
5 - Very much like me
14. I am afraid that my child is completely unprepared for life.
1 – Not at all like me
2 – Not like me
3 – Unsure
4 – Like me
5 – Very much like me
15. I sleep well at night.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
16. When I think about my son (daughter), my mood immediately improves.
1 – Not like me at all
2 – Not like me
3 – Hard to say
4 – Like me
5 – Very much like me
17. People who know me often say I look exhausted.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
18. I am confident that I can accomplish a lot in life.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
19. I often feel that I am a bad mother.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
20. I am usually satisfied with how I look and how I am dressed.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
21. When I think about my son or daughter, I am constantly troubled by feelings of fear.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
22. I constantly feel tense and find it difficult to relax.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
23. I think I understand my son (daughter) well.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
24. In the mornings, I almost always feel in a good mood.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
25. I often feel that life is passing me by.
1 – Not at all like me
2 – Not like me
3 – Unsure
4 – Like me
5 – Very much like me
26. I often feel embarrassed about my son or daughter in front of people I know.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
27. I feel frustrated or bored.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
28. I am afraid that my son (daughter) will end up repeating my life path.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
29. Lately, I have become more irritable.
1 – Not at all like me
2 – Not like me
3 – Hard to say
4 – Like me
5 – Very much like me
30. I cannot keep up; I constantly do not have enough time.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
31. I constantly think about what my son or daughter may have done while I was away.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
32. My son (daughter) constantly makes me feel happy.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
33. I often feel intense anxiety for no clear reason.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
34. Lately, I feel that being around people tires me out.
1 – Not at all like me
2 – Not like me
3 – Hard to say
4 – Like me
5 – Very much like me
35. I constantly fear that my son (daughter) will be disappointed in me.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
36. I often feel lonely.
1 – Not at all like me
2 – Not like me
3 – Unsure
4 – Like me
5 – Very much like me
37. People around me think that I am raising my son/daughter incorrectly.
1 – Not at all like me
2 – Not like me
3 – Hard to say
4 – Like me
5 – Very much like me
38. I am troubled by nightmares.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
39. Ongoing worry about my son (daughter) completely exhausts me.
1 – Not at all like me
2 – Not like me
3 – Not sure
4 – Like me
5 – Very much like me
40. I am confident that my son/daughter will be able to cope with many of life’s challenges.
1 – Not at all like me
2 – Not like me
3 – Unsure
4 – Like me
5 – Very much like me