Scared Child Form - 0 0 0 gd 22. It is hard for me to talk with people i don’t know well o o o 27. Name _____ date _____ child version—pages 1 and 2 (to be filled out by the child) directions: Web screen for child anxiety related disorders (scared) child version—page 2 of 2 (to be filled out by the child) • 0 not true or hardly ever true 1 somewhat true or sometimes true 2 very true or often true 21. People tell me that i worry too much o o o 29. When my child feels frightened, it is hard for him/her to breathe. Below is a list of sentences that describe how people feel. I don’t like to be away from my family o o o 30. The scared is available at no cost at www.wpic.pitt.edu/research under tools and assessments, or at www.pediatric bipolar.pitt.edu under instruments. I am afraid of having anxiety (or panic) attacks o o o 31.
My child doesn’t like to be with people he/she doesn't know well. The scared is available at no cost at www.wpic.pitt.edu/research under tools and assessments, or at www.pediatric bipolar.pitt.edu under instruments. I am afraid to be alone in the house o o o 26. Name _____ date _____ child version—pages 1 and 2 (to be filled out by the child) directions: Below is a list of sentences that describe how people feel. When my child feels frightened, it is hard for him/her to breathe. Web screen for child anxiety related disorders (scared) child version—page 2 of 2 (to be filled out by the child) • 0 not true or hardly ever true 1 somewhat true or sometimes true 2 very true or often true 21. 0 0 0 gd 24. It is hard for me to talk with people i don’t know well o o o 27. I worry about things working out for me. Web screen for child anxiety related disorders (scared) child version—page 2 of 2 (to be filled out by the child) 0 not true or hardly ever true 1 somewhat true or sometimes true 2 very true or often true 21. I am afraid of having anxiety (or panic) attacks o o o 31. People tell me that i worry too much o o o 29. I worry about things working out for me. 0 0 0 pn 23. I don’t like to be away from my family o o o 30. My child gets headaches when he/she is at school. Read each phrase and decide if it is “not true or hardly ever true” or “somewhat true or sometimes true” or “very true or often true” for you When i get frightened, i sweat a lot. 0 0 0 gd 22.