Test Anxiety Questionnaire
THANK YOU  for taking the time to answer this questionnaire to help me better understand how test anxiety shows up in your life.

This questionnaire is for social workers, counselors, marriage and family therapist and mental health professionals who have test anxiety. Anxiety disorders are quite common in both adults and children. About 18% of U.S adults and 25% of adolescents age 13 to 18 will experience anxiety, according to the National Institute of Mental Health. 

Test anxiety can be defined as a combination of physical, physiological and emotional over arousal, feelings of worry and dread, self-deprecating thoughts, tension, and somatic symptoms that occur during test situations.  People who experience extreme stress, anxiety, and discomfort during and/or before taking a test and then feel better when the test is over
may have test anxiety.

As a coach for test anxiety your input will better help me help others.   

Email *
What is your gender *
What is your highest level of education? *
What BEST describes your personality? *
How do you rate your overall optimism about life in general? *
Extremely Pessimistic about Life
Extremely Optimistic about Life
Have you taken a credentialing or license exam? *
What type of license are you seeking? *
If you have taken it, how well did you do? *
How many times have you taken the exam before passing? *
If you have not taken the test yet, how well will you do on your examination? *
Fail miserably!
Pass with flying colors!
What's your biggest distraction or barrier when becoming credentialed or licensed in your field? *
What feelings come up when you discover that someone you know recently passed the exam? *
What are the worst thoughts or feelings you hold about yourself? *
Required
How much control do you think you have over your life experiences? *
None, I have zero control over what happens to me!
I'm 100% in control of my experiences!
How would you rate your overall success in life? *
Poor- I'm a failure in life
Great- I am a success!
Where do you typically study THE MOST? *
Required
What do you typically DO while studying? *
Required
What is the WORST advice someone has given you about studying or the exam? *
What is the BEST advice someone has given you about studying or the exam? *
What do you think your exam is designed to do? *
Required
What are your physical symptoms of test anxiety, if any? *
Required
What are your emotional symptoms of test anxiety, if any? *
Required
What are your mental or cognitive symptoms of test anxiety, if any? *
Required
Do you think that the exam is necessary or needed in your field? *
On a scale from 1 to 10, how anxious are you overall? *
Not anxious all
Extremely anxious about most things
Are you anxious in other areas of your life besides test taking? *
Family
Work
Relationships
Social settings
Performance
Public Speaking
Other
Not anxious in other settings
YES (check appropriate boxes)
What is your biggest concern about taking (ie, location, costs, failing, procrastination, etc) your license exam? *
Do you believe the exam is culturally biased? *
Would you vote to eradicate the exam altogether? *
If the exam were to be eradicated, what would you propose instead? *
How would you rate your test anxiety? *
None
Severe Test Anxiety
What alternative methods have YOU used successfully to help decrease test anxiety? *
Required
What alternative methods (listed above) are you willing to TRY in order to decrease test anxiety that you have NOT previously or want to use more of? *
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