Screen For Child Anxiety Related Disorders (Scared) Template Page 2
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2Screen for Child Anxiety Related Disorders (SCARED)
Child Version - Page 2 of 2 (To be filled out by the CHILD)
0
1
2
Not True
Somewhat
Very True
or Hardly
True or
or Often
Ever True
Sometimes
True
True
o
o
o
21. I worry about things working out for me
o
o
o
22. When I get frightened, I sweat a lot
o
o
o
23. I am a worrier
o
o
o
24. I get really frightened for no reason at all
o
o
o
25. I am afraid to be alone in the house
o
o
o
26. It is hard for me to talk with people I don’t know well
o
o
o
27. When I get frightened, I feel like I am choking
28. People tell me that I worry too much
o
o
o
o
o
o
29. I don’t like to be away from my family
o
o
o
30. I am afraid of having anxiety (or panic) attacks
o
o
o
31. I worry that something bad might happen to my parents
o
o
o
32. I feel shy with people I don’t know well
o
o
o
33. I worry about what is going to happen in the future
o
o
o
34. When I get frightened, I feel like throwing up
o
o
o
35. I worry about how well I do things
o
o
o
36. I am scared to go to school
o
o
o
37. I worry about things that have already happened
o
o
o
38. When I get frightened, I feel dizzy
I feel nervous when I am with other children or adults and I have
o
o
o
39.
to do something while they watch me (for example: read aloud,
speak, play a game, play a sport)
I feel nervous when I am going to parties, dances, or any place
40.
o
o
o
where there will be people that I don’t know well
o
o
o
41. I am shy
*For children ages 8 to 11, it is recommended that the clinician explain all questions, or have
the child answer the questionnaire sitting with an adult in case they have any questions.
Developed by Boris Birmaher, MD, Suneeta Khetarpal, MD, Marlane Cully, MEd, David Brent, MD, and Sandra
McKenzie, PhD. Western Psychiatric Institute and Clinic, University of Pgh. (10/95). Email: birmaherb@msx.upmc.edu
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