0 never true 1 Rarely True 2 Sometimes true 3 Often true
MULTI DIMENSIONAL ANXIETY SCALE FOR CHILDREN
about me about me about me about me
1. I feel tense or uptight
8. I get shaky or jittery
12. I get dizzy or faint feelings
15. I'm jumpy
18. I have pains in my chest
20. I feel strange, weird, or unreal
24. My heart races or skips beats
27. I feel restless and on edge
31. I feel sick to my stomach
35. My hands shake
38. My hands feel sweaty or cold
3. I worry about other people laughing at me
10. I'm afraid that other kids will make fun of me
14. I worry about getting called on in class
16. I'm afraid other people will think I'm stupid
22. I worry about what other people think of me
29. I worry about doing something stupid or embarrassing
37. I have trouble asking other kids to play with
39. 1 feel shy
4. I get scared when my parents go away
7. The idea of going away to camp scares me
17. I keep the light on at night
19. I avoid going to places without my family
23. I avoid watching scary movies and TV shows
30. I get scared riding in the car or on the bus
34. Bad weather, the dark, heights, animals, or bugs scare me
6. I have trouble getting my breath
9. I try to stay near my mom or dad
25. I stay away from things that upset me