SPENCE CHILDREN’S ANXIETY SCALE (SCAS)- Child

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Today's Date* This field is required.

Date

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Your Name:* This field is required.

3

Your Date of Birth* This field is required.

Date

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TOTAL SCORE (Interpret the score using the table below):

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	T-Score 60 (84th percentile)	T-Score 65 (94th percentile)	T-Score 70 (98th percentile)
Boys ages 7-11	40 and over	50 and over	69 and over
Boys ages 12-17	33 and over	42 and over	60 and over
Girls ages 7-11	50 and over	59 and over	74 and over
Girls ages 12-17	40 and over	53 and over	67 and over

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DIRECTIONS: Next 38 questions has statements describing feelings or behaviors. For each, pick the response that best matches how you usually feel or act.

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1. I worry about things.* This field is required.

Never

Sometimes

Often

Very often

8

2. I am scared of the dark.* This field is required.

Never

Sometimes

Often

Very often

9

3. When I have a problem, I get a funny feeling in my stomach.* This field is required.

Never

Sometimes

Often

Very often

10

4. I feel afraid.* This field is required.

Never

Sometimes

Often

Very often

11

5. I would feel afraid of being on my own at home.* This field is required.

Never

Sometimes

Often

Very often

12

6. I feel scared when I have to take a test.* This field is required.

Never

Sometimes

Often

Very often

13

7. I feel afraid if I have to use public toilets or bathrooms.* This field is required.

Never

Sometimes

Often

Very often

14

8. I worry about being away from my parents.* This field is required.

Never

Sometimes

Often

Very often

15

9. I feel afraid that I will make a fool of myself in front of people.* This field is required.

Never

Sometimes

Often

Very often

16

10. I worry that I will do badly at my school work.* This field is required.

Never

Sometimes

Often

Very often

17

11. I am popular amongst other kids my own age.* This field is required.

Never

Sometimes

Often

Very often

18

12. I worry that something awful will happen to someone in my family.* This field is required.

Never

Sometimes

Often

Very often

19

13. I suddenly feel as if I can’t breathe when there is no reason for this.* This field is required.

Never

Sometimes

Often

Very often

20

14. I have to keep checking that I have done things right (like the switch is off, or the door is locked).* This field is required.

Never

Sometimes

Often

Very often

21

15. I feel scared if I have to sleep on my own.* This field is required.

Never

Sometimes

Often

Very often

22

16. I have trouble going to school in the mornings because I feel nervous or afraid.* This field is required.

Never

Sometimes

Often

Very often

23

17. I am good at sports.* This field is required.

Never

Sometimes

Often

Very often

24

18. I am scared of dogs.* This field is required.

Never

Sometimes

Often

Very often

25

19. I can’t seem to get bad or silly thoughts out of my head.* This field is required.

Never

Sometimes

Often

Very often

26

20. When I have a problem, my heart beats really fast.* This field is required.

Never

Sometimes

Often

Very often

27

21. I suddenly start to tremble or shake when there is no reason for this.* This field is required.

Never

Sometimes

Often

Very often

28

22. I worry that something bad will happen to me.* This field is required.

Never

Sometimes

Often

Very often

29

23. I am scared of going to the doctors or dentists.* This field is required.

Never

Sometimes

Often

Very often

30

24. When I have a problem, I feel shaky.* This field is required.

Never

Sometimes

Often

Very often

31

25. I am scared of being in high places or lifts (elevators).* This field is required.

Never

Sometimes

Often

Very often

32

26. I am a good person.* This field is required.

Never

Sometimes

Often

Very often

33

27. I have to think of special thoughts to stop bad things from happening (like numbers or words).* This field is required.

Never

Sometimes

Often

Very often

34

28. I feel scared if I have to travel in the car, or on a Bus or a train.* This field is required.

Never

Sometimes

Often

Very often

35

29. I worry what other people think of me.* This field is required.

Never

Sometimes

Often

Very often

36

30. I am afraid of being in crowded places (like shopping centres, the movies, buses, busy playgrounds).* This field is required.

Never

Sometimes

Often

Very often

37

31. I feel happy.* This field is required.

Never

Sometimes

Often

Very often

38

32. All of a sudden I feel really scared for no reason at all.* This field is required.

Never

Sometimes

Often

Very often

39

33. I am scared of insects or spiders.* This field is required.

Never

Sometimes

Often

Very often

40

34. I suddenly become dizzy or faint when there is no reason for this.* This field is required.

Never

Sometimes

Often

Very often

41

35. I feel afraid if I have to talk in front of my class.* This field is required.

Never

Sometimes

Often

Very often

42

36. My heart suddenly starts to beat too quickly for no reason.* This field is required.

Never

Sometimes

Often

Very often

43

37. I worry that I will suddenly get a scared feeling when there is nothing to be afraid of.* This field is required.

Never

Sometimes

Often

Very often

44

38. I like myself.* This field is required.

Never

Sometimes

Often

Very often

45

39. I am afraid of being in small closed places, like tunnels or small rooms.* This field is required.

Never

Sometimes

Often

Very often

46

40. I have to do some things over and over again (like washing my hands, cleaning or putting things in a certain order).* This field is required.

Never

Sometimes

Often

Very often

47

41. I get bothered by bad or silly thoughts or pictures in my mind.* This field is required.

Never

Sometimes

Often

Very often

48

42. I have to do some things in just the right way to stop bad things happening.* This field is required.

Never

Sometimes

Often

Very often

49

43. I am proud of my school work.* This field is required.

Never

Sometimes

Often

Very often

50

44. I would feel scared if I had to stay away from home overnight.* This field is required.

Never

Sometimes

Often

Very often

51

45. Is there something else that you are really afraid of?

YESNO

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Please write down what it is:

53

How often are you afraid of this thing?

Never

Sometimes

Often

Very often