Screening for Childhood Anxiety

To Be Filled Out By Parent

Below is a list of sentences that describe how people feel. 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 your child. Then, for each statement, select the answer that corresponds to the response to describe your child for the last 3 months. Please respond to all statements as well as you can, even if some do not seem to concern your child.

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