Spence Children's Anxiety Scale
Your Full Name
*
Date of Birth
*
Today's Date
Please select the word that shows how often each of these things happen to you. There are no right or wrong answers.
*
Never
Sometimes
Often
Always
I worry about things
Never
Sometimes
Often
Always
I am scared of the dark
Never
Sometimes
Often
Always
When I have a problem, I get a funny feeling in my stomach
Never
Sometimes
Often
Always
I feel afraid
Never
Sometimes
Often
Always
I would feel afraid of being on my own at home
Never
Sometimes
Often
Always
I feel scared when I have to take a test
Never
Sometimes
Often
Always
I feel afraid if I have to use public toilets or bathrooms
Never
Sometimes
Often
Always
I worry about being away from my parents
Never
Sometimes
Often
Always
I feel afraid that I will make a fool of myself in front of people
Never
Sometimes
Often
Always
I worry that I will do badly at my school work
Never
Sometimes
Often
Always
I am popular amongst other kids my own age
Never
Sometimes
Often
Always
I worry that something awful will happen to someone in my family
Never
Sometimes
Often
Always
I suddenly feel as if I can't breathe when there is no reason for this
Never
Sometimes
Often
Always
I have to keep checking that I have done things right (like the switch is off, or the door is locked)
Never
Sometimes
Often
Always
I feel scared if I have to sleep on my own
Never
Sometimes
Often
Always
I have trouble going to school in the mornings because I feel nervous or afraid
Never
Sometimes
Often
Always
I am good at sports
Never
Sometimes
Often
Always
I am scared of dogs
Never
Sometimes
Often
Always
I can't seem to get bad or silly thoughts out of my head
Never
Sometimes
Often
Always
When I have a problem, my heart beats really fast
Never
Sometimes
Often
Always
I suddenly start to tremble or shake when there is no reason for this
Never
Sometimes
Often
Always
I worry that something bad will happen to me
Never
Sometimes
Often
Always
I am scared of going to the doctors or dentists
Never
Sometimes
Often
Always
When I have a problem, I feel shaky
Never
Sometimes
Often
Always
I am scared of being in high places or lifts (elevators)
Never
Sometimes
Often
Always
I am a good person
Never
Sometimes
Often
Always
I have to think of special thoughts to stop bad things from happening (like numbers or words)
Never
Sometimes
Often
Always
I feel scared if I have to travel in the car, or on a bus or a train
Never
Sometimes
Often
Always
I worry what other people think of me
Never
Sometimes
Often
Always
I am afraid of being in crowded places (like shopping centres, the movies, buses, busy playgrounds)
Never
Sometimes
Often
Always
I feel happy
Never
Sometimes
Often
Always
All of a sudden I feel really scared for no reason at all
Never
Sometimes
Often
Always
I am scared of insects or spiders
Never
Sometimes
Often
Always
I suddenly become dizzy or faint when there is no reason for his
Never
Sometimes
Often
Always
I feel afraid if I have to talk in front of my class
Never
Sometimes
Often
Always
My heart suddenly starts to beat too quickly for no reason
Never
Sometimes
Often
Always
I worry that I will suddenly get a scared feeling when there is nothing to be afraid of
Never
Sometimes
Often
Always
I like myself
Never
Sometimes
Often
Always
I am afraid of being in small closed places, like tunnels or small rooms
Never
Sometimes
Often
Always
I have to do some things over and over again (like washing my hands, cleaning or putting things in a certain order)
Never
Sometimes
Often
Always
I get bothered by bad or silly thoughts or pictures in my mind
Never
Sometimes
Often
Always
I have to do some things in the right way to stop bad things happening
Never
Sometimes
Often
Always
I am proud of my school work
Never
Sometimes
Often
Always
I would feel scared if I had to stay away from home overnight
Never
Sometimes
Often
Always
Is there something else you are really afraid of?
Yes
No
Please write down what that is
How often are you afraid of this thing?
Never
Sometimes
Often
Always
Please wait, files are uploading..
Submit