1.
I worry about things.
2.
I am scared of the dark.
3.
When I have a problem, I get a funny feeling in my stomach.
4.
I feel afraid.
5.
I would feel afraid of being on my own at home.
6.
I feel scared when I have to take a test.
7.
I feel afraid if I have to use public toilets or bathrooms.
8.
I worry about being away from my parents.
9.
I feel afraid that I will make a fool of myself in front of people.
10.
I worry that I will do badly at my school work.
11.
I am popular amongst other kids my own age.
12.
I worry that something awful will happen to someone in my family.
13.
I suddenly feel as if I can't breathe when there is no reason for this.
14.
I have to keep checking that I have done things right (like the switch is off, or the door is locked).
15.
I feel scared if I have to sleep on my own.
16.
I have trouble going to school in the mornings because I feel nervous or afraid.
17.
I am good at sports.
18.
I am scared of dogs.
19.
I can't seem to get bad or silly thoughts out of my head.
20.
When I have a problem, my heart beats really fast.
21.
I suddenly start to tremble or shake when there is no reason for this.
22.
I worry that something bad will happen to me.
23.
I am scared of going to the doctors or dentists.
24.
When I have a problem, I feel shaky.
25.
I am scared of being in high places or elevators (lifts).
26.
I am a good person.
27.
I have to think of special thoughts to stop bad things from happening (like numbers or words).
28.
I feel scared if I have to travel in the car, or on a bus or a train.
29.
I worry what other people think of me.
30.
I am afraid of being in crowded places (like shopping centers, the movies, buses, busy playgrounds.
31.
I feel happy.
32.
All of a sudden I feel really scared for no reason at all.
33.
I am scared of insects or spiders.
34.
I suddenly become dizzy or faint when there is no reason for this.
35.
I feel afraid if I have to talk in front of my class.
36.
My heart suddenly starts to beat too quickly for no reason.
37.
I worry that I will suddenly get a scared feeling when there is nothing to be afraid of.
38.
I like myself.
39.
I am afraid of being in small closed places, like tunnels or small rooms.
40.
I have to do some things over and over again (like washing my hands, cleaning or putting things in a certain order).
41.
I get bothered by bad or silly thoughts or pictures in my mind.
42.
I have to do some things in just the right way to stop bad things happening.
43.
I am proud of my school work.
44.
I would feel scared if I had to stay away from home overnight.
45.
Is there something else that you are really afraid of? How often are you afraid of this thing?