Screen for Child Anxiety Related Disorders (SCARED) Child Version (To be filled out by the Child)
Child's Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Today's date
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Month
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Day
Year
Date
When I feel frightened, it is hard to breathe.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I get headaches when I am at school.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I don't like to be with people I don't know well.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I get scared if I sleep away from home.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I worry about other people liking me.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
When I get frightened, I feel like passing out.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I am nervous.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I follow my mother or father wherever they go.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
People tell me that I look nervous.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I feel nervous with people I don't know well.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I get stomachaches at school.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
When I get frightened, I feel like I am going crazy.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I worry about sleeping alone.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I worry about being as good as other kids.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
When I get frightened, I feel like things are not real.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I have nightmares about something bad happening to my parents.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I worry about going to school.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
When I get frightened, my heart beats fast.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I get shaky.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I have nightmares about something bad happening to me.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I worry about things working out for me.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
When I get frightened, I sweat a lot.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I am a worrier.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I get really frightened for no reason at all.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I am afraid to be alone in the house.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
It is hard for me to talk with people I don't know well.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
When I get frightened, I feel like I am choking.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
People tell me that I worry too much.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I don't like to be away from my family.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I am afraid of having anxiety (or panic) attacks.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I worry that something bad might happen to my parents.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I feel shy with people I don't know well.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I worry about what is going to happen in the future.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
When I get frightened, I feel like throwing up.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I worry about how well I do things.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I am scared to go to school.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I worry about things that have already happened.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
When I get frightened, I feel dizzy.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I feel nervous when I am with other children or adults and I have to do something while they watch (for example: read aloud, speak, play a game, or play a sport)
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I feel nervous when I am going to parties, dances, or any place where there will be people that I don't know well.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
I am shy.
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Not true or hardly ever true (0)
Somewhat true or sometimes true (1)
Very true or often true (2)
Submit
Should be Empty: