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Child & Adolescent Anxiety Assessment

This questionnaire may help you assess whether your child is experiencing some of the common signs of anxiety disorder. It is not intended to be diagnostic or provide medical advice. 

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Question 1 of 13

My child has unrealistic thoughts, fears or worries.

A

True

B

False

Question 2 of 13

My child is not able to stop or control worrying. 

A

True

B

False

Question 3 of 13

My child easily becomes annoyed or irritable.  

A

True

B

False

Question 4 of 13

When my child gets frightened, his/her heart beats fast. 

A

True

B

False

Question 5 of 13

My child complains of frequent headaches or stomachaches. 

A

True

B

False

Question 6 of 13

My child experiences pessimistic/negative thoughts; i.e. always imagines the worst. 

A

True

B

False

Question 7 of 13

My child exaggerates the negative, e.g. "this ALWAYS happens to me" or "they NEVER do this."

A

True

B

False

Question 8 of 13

My child avoids certain things or places.

A

True

B

False

Question 9 of 13

My child experiences sleep difficulties, such as troubling falling asleep or staying asleep, or frequent nightmares.

A

True

B

False

Question 10 of 13

My child displays a fear of making mistakes or is a "perfectionist." 

A

True

B

False

Question 11 of 13

My child procrastinates/puts off tasks. 

A

True

B

False

Question 12 of 13

My child has trouble focusing.

A

True

B

False

Question 13 of 13

My child is excessively clingy/won't let me out of his/her sight. 

A

True

B

False

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