NOT TRUE OR HARDLY EVER TRUE
SOMEWHAT TRUE OR SOMETIMES TRUE
VERY TRUE OR OFTERN TRUE
When my child feels frightened, it is hard for him/her to breathe.
My child gets headaches when he/she is at school.
My child doesn't like to be with people he/she doesn't know well.
My child gets scared if he/she sleeps away from home.
My child worries about other people liking him/her.
When my child gets frightened, he/she feels like passing out.
My child follows me wherever I go.
People tell me my child look nervous.
My child feels nervous with people he/she doesn't know well.
My child gets stomachaches at school.
When my child gets frightened, he/she feels like he/she is going crazy.
My child worries about sleeping alone.
My child worries about being as good as other kids.
When my child gets frightened, he/she feels like things are not real.
My child had nightmares about something bad happening to his/her parents.
My child worries about going to school.
When my child gets frightened, his/her heart beats fast.
My child has nightmares about something bad happening to him/her.
My child worries about things working out for him/her.
When my child gets frightened, he/she sweats a lot.
My child gets really frightened for no reason at all.
My child is afraid to be alone in the house.
It is hard for my child to talk with people he/she doesn't know well.
When my child gets frightened, he/she feels like he/she is choking.
People tell me that my child worries too much.
My child doesn't like to be away from his/her family.
My child is afraid of having anxiety (or panic) attacks.
My child worries that something bad might happen to his/her parents.
My child feels shy with people he/she doesn't know well.
My child worries about what is going to happen in the future.
When my child gets frightened, he/she feels like throwing up.
My child worries about how well he/she does things.
My child is scared to go to school.
My child worries about things that have already happened.
When my child gets frightened, he/she feels dizzy.
My child feels nervous when he/she is with other children or adults and he/she has to do something while they watch him/her (for example: read aloud, speak, play a game, play a sport).
My child feels nervous when he/she is going to parties, dances, or any other place where there will be people that he/she doesn't know well.
