Screen for Child Anxiety Related Disorders (SCARED) Child Version (To be filled out by the CHILD)
Below is a list of sentences that describe how people feel. Read each phrase and decide if it is “Not True or Hardly Ever True” or “Somewhat True or Sometimes True” or “Very True or Often True” for you. Then for each sentence, click on one circle that corresponds to the response that seems to describe you for the last 3 months.
Patient Name
*
First Name
Last Name
Patient Date of Birth
*
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Month
-
Day
Year
Date
1. When I feel frightened, it is hard to breathe.
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Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
2. I get headaches when I am at school.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
3. I don't like to be with people I don't know well.
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Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
4. I get scared if I sleep away from home.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
5.I worry about other people liking me.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
6. When I get frightened, I feel like passing out.
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Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
7. I am nervous.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
8. I follow my mother or father wherever they go.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
9. People tell me that I look nervous.
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Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
10. I feel nervous with people I don't know well.
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Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
11. I get stomachaches at school.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
12. When I get frightened, I feel like I am going crazy.
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Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
13. I worry about sleeping alone.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
14. I worry about being as good as other kids.
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Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
15. When I get frightened, I feel like things are not real.
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Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
16.I have nightmares about something bad happening to my parents.
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Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
17. I worry about going to school.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
18. When I get frightened, my heart beats fast.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
19. I get shaky.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
20. I have nightmares about something bad happening to me.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
21. I worry about things working out for me.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
22. When I get frightened, I sweat a lot.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
23. I am a worrier.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
24. I get really frightened for no reason at all.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
25. I am afraid to be alone in the house.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
26. It is hard for me to talk with people I don't know well.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
27. When I get frightened, I feel like I am choking.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
28. People tell me that I worry too much.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
29. I don't like to be away from my family.
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Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
30. I am afraid of having anxiety (or panic) attacks.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
31. I worry that something bad might happen to my parents.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
32. I feel shy with people I don't know well.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
33. I worry about what is going to happen in the future.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
34. When I get frightened, I feel like throwing up.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
35. I worry about how well I do things.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
36. I am scared to go to school.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
37. I worry about things that have already happened.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
38. When I get frightened, I feel dizzy.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
39. I feel nervous when I am with other children or adults and I have to do something while they watch me (for example: read aloud, speak, play a game, play a sport.)
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
40. I feel nervous when I am going to parties, dances, or any place where there will be people that I don't know well.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
41. I am shy.
*
Not True or Hardly Ever True
Somewhat True or Sometimes True
Very True or Often True
Submit
Total Score: Possible Anxiety Disorder (>=25; <30 more specific)
Panic Disorder Score (>=7 on select items)
Generalized Anxiety Disorder Score (>=9 on select items)
Separation Anxiety Score (>=5 on select items)
Social Anxiety Disorder Score (>=8 on select items)
Significant School Avoidance Score (>=3 on select items)
Should be Empty: