Question 1 / 38: My child worries about things:

Question 2 / 38: My child is scared of the dark:

Question 3 / 38: When my child has a problem, s(he) complains ofhaving a funny feeling in his / her stomach:

Question 4 / 38: My child complains of feeling afraid:

Question 5 / 38: My child would feel afraid of being on his/her own at home:

Question 6 / 38: My child is scared when s(he) has to take a test:

Question 7 / 38: My child is afraid when (s)he has to use public toilets or bathrooms:

Question 8 / 38: My child worries about being away from us / me:

Question 9 / 38: My child feels afraid that (s)he will make a fool of him/herself in front of people:

Question 10 / 38: My child worries that (s)he will do badly at school:

Question 11 / 38: My child worries that something awful will happen to someone in our family:

Question 12 / 38: My child complains of suddenly feeling as if (s)he can't breathe when there is no reason for this:

Question 13 / 38: My child has to keep checking that (s)he has done things right(like the switch is off, or the door is locked):

Question 14 / 38: My child is scared if (s)he has to sleep on his/her own:

Question 15 / 38: My child has trouble going to school in the mornings because(s)he feels nervous or afraid:

Question 16 / 38: My child is scared of dogs:

Question 17 / 38: My child can't seem to get bad or silly thoughts out of his / her head:

Question 18 / 38: When my child has a problem, s(he) complains of his/her heart beating really fast:

Question 19 / 38: My child suddenly starts to tremble or shake when there is no reason for this:

Question 20 / 38: My child worries that something bad will happen to him/her:

Question 21 / 38: My child is scared of going to the doctor or dentist:

Question 22 / 38: When my child has a problem, (s)he feels shaky:

Question 23 / 38: My child is scared of heights (eg. being at the top of a cliff):

Question 24 / 38: My child has to think special thoughts (like numbers or words) to stop bad things from happening:

Question 25 / 38: My child feels scared if (s)he has to travel in the car, or on a bus or train:

Question 26 / 38: My child worries what other people think of him/her:

Question 27 / 38: My child is afraid of being in crowded places (like shopping centres, the movies, buses, busy playgrounds):

Question 28 / 38: All of a sudden my child feels really scared for no reason at all:

Question 29 / 38: My child is scared of insects or spiders:

Question 30 / 38: My child complains of suddenly becoming dizzy or faint when there is no reason for this:

Question 31 / 38: My child feels afraid when (s)he has to talk in front of the class:

Question 32 / 38: My child’s complains of his / her heart suddenly starting to beat too quickly for no reason:

Question 33 / 38: My child worries that (s)he will suddenly get a scared feeling when there is nothing to be afraid of:

Question 34 / 38: My child is afraid of being in small closed places, like tunnels or small rooms:

Question 35 / 38: My child has to do some things over and over again (like washing his / her hands, cleaning or putting things in a certain order):

Question 36 / 38: My child gets bothered by bad or silly thoughts or pictures in his/her head:

Question 37 / 38: My child has to do certain things in just the right way to stop bad things from happening:

Question 38 / 38: My child would feel scared if (s)he had to stay away from home overnight: