SCARED Screening Questionnaire Test - the question form

Questions: 41 · 8 minutes
1. When my child feels scared, he or she has trouble breathing.
Not true or hardly ever true
Somewhat true or sometimes true
Very true or often true
2. My child gets headaches when he or she is at school.
1 – Not true / hardly ever true
2 – Somewhat true / true some of the time
3 – Always true / true most of the time
3. My child does not like to be with people he/she does not know well.
Not true or hardly ever true
Somewhat true or sometimes true
Very true or often true
4. My child feels scared if he or she has to sleep away from home.
1 – Not true / almost never true
2 – Somewhat true / true in some situations
3 – Always true / true in most situations
5. My child worries about whether other people like him/her.
1 – Not true or hardly ever true
2 – Somewhat true or sometimes true
3 – Very true or often true
6. When my child gets frightened, he/she feels like he/she is going to faint.
1 – Not true or hardly ever true
2 – Somewhat true or sometimes true
3 – Very true or often true
7. My child often feels anxious.
1 – Not true / hardly ever true
2 – Somewhat true / true in some situations
3 – Always true / true most of the time
8. My child follows me wherever I go.
1 – Not true / hardly ever true
2 – Somewhat true / true in some situations
3 – Very true / true most of the time
9. Other people tell me that my child looks anxious.
Not true or hardly ever true
Somewhat true or sometimes true
Very true or often true
10. My child feels nervous with people he or she does not know well.
Not true or hardly ever true
Somewhat true or true some of the time
Very true or true most of the time
11. My child gets stomachaches at school.
1 – Not true or hardly ever true
2 – Somewhat true or sometimes true
3 – Very true or often true
12. When my child gets frightened, he or she feels like he or she is going crazy.
1 – Not true / hardly ever true
2 – Somewhat true / true some of the time
3 – Very true / true most of the time
13. My child worries about sleeping alone in his or her room.
1 – Not true / hardly ever true
2 – Somewhat true / sometimes true
3 – Very true / often true
14. My child worries about not being as good as other children.
1 – Not true / almost never true
2 – Somewhat true / true some of the time
3 – Always true / true most of the time
15. When he/she gets frightened, he/she feels as if things around him/her are not real.
1 – Not true / hardly ever true
2 – Somewhat true / true some of the time
3 – Very true / true most of the time
16. My child has nightmares about something bad happening to his or her parents.
1 – Not true / hardly ever true
2 – Somewhat true / true sometimes
3 – Very true / true most of the time
17. My child worries about going to school.
1 – Not true or hardly ever true
2 – Somewhat true or sometimes true
3 – Very true or often true
18. When my child gets frightened, his/her heart beats fast.
1 – Not true / hardly ever true
2 – Somewhat true / true sometimes
3 – Very true / true most of the time
19. My child often feels shaky.
1 – Not true or hardly ever true
2 – Somewhat true or sometimes true
3 – Very true or often true
20. My child has nightmares about something bad happening to him or her.
Not true or hardly ever true
Somewhat true or true some of the time
Very true or true most of the time
21. My child worries about doing well.
1 – Not true or hardly ever true
2 – Somewhat true or sometimes true
3 – Very true / often true
22. When my child is frightened, he/she sweats a lot.
1 – Not true / hardly ever true
2 – Somewhat true / true in some situations
3 – Very true / true most of the time
23. My child often worries.
Not true or hardly ever true
Somewhat true or sometimes true
Very true or often true
24. My child is very scared for no good reason.
1 – Not true / hardly ever true
2 – Somewhat true / true sometimes
3 – Very true / true most of the time
25. My child is afraid to be alone at home.
1 – Not true / almost never true
2 – Somewhat true / true in some situations
3 – Always true / true in most situations
26. My child finds it hard to talk to people he/she does not know well.
1 – Not true / almost never true
2 – Somewhat true / true in some situations
3 – Always true / true most of the time
27. When my child gets scared, he or she feels like he or she is choking.
1 – Not true / almost never true
2 – Somewhat true / true in some situations
3 – Always true / true in most situations
28. Other people say that my child worries too much.
1 – Not true / hardly ever true
2 – Somewhat true / true sometimes
3 – Very true / true most of the time
29. My child does not like to be away from the family.
1 – Not true / hardly ever true
2 – Somewhat true / true sometimes
3 – Very true / true most of the time
30. My child is afraid of having anxiety (panic) attacks.
1 – Not true / hardly ever true
2 – Somewhat true / true in some situations
3 – Very true / true in most situations
31. My child worries that something bad might happen to his/her parents.
Not true or hardly ever true
Somewhat true or sometimes true
Very true or often true
32. My child feels shy around people he/she does not know well.
1 – Not true / hardly ever true
2 – Somewhat true / sometimes true
3 – Very true / often true
33. My child worries about what might happen in the future.
1 – Not true / hardly ever true
2 – Somewhat true / true in some situations
3 – Very true / true in most situations
34. When my child is frightened, he/she feels like throwing up.
Not true or hardly ever true
Somewhat true or sometimes true
Very true or often true
35. My child worries about how well he or she does things.
1 – Not true / hardly ever true
2 – Somewhat true / true in some situations
3 – Very true / true in most situations
36. My child is afraid to go to school.
Not true or hardly ever true
Somewhat true or sometimes true
Very true or often true
37. My child worries about things that have already happened.
1 – Not true or hardly ever true
2 – Somewhat true or sometimes true
3 – Very true or often true
38. When my child is frightened, he or she feels dizzy.
1 – Not true / hardly ever true
2 – Somewhat true / true in some situations
3 – Very true / true most of the time
39. My child feels nervous when around other children or adults and has to do something while they are watching (for example, read aloud, talk about something, play, or do sports).
1 – Not true / hardly ever true
2 – Somewhat true / true in some situations
3 – Very true / true most of the time
40. My child feels nervous when going to parties, dances, or other places where he/she will be with people he/she does not know well.
1 – Not true / hardly ever true
2 – Somewhat true / true in some situations
3 – Very true / true most of the time
41. My child is shy.
1 – Not true / hardly ever true
2 – Somewhat true / true in some situations
3 – Very true / true in most situations
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