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For children aged 8–18 (self or parent report). For each item, choose the response that best describes how you have felt during the last 3 months.

1. 1.When I feel frightened, it is hard to breathe.

   • [0]0 — Not true or hardly ever true
   • [1]1 — Somewhat true or sometimes true
   • [2]2 — Very true or often true

2. 2.I get headaches when I am at school.

   • [0]0 — Not true or hardly ever true
   • [1]1 — Somewhat true or sometimes true
   • [2]2 — Very true or often true

3. 3.I don't like to be with people I don't know well.

   • [0]0 — Not true or hardly ever true
   • [1]1 — Somewhat true or sometimes true
   • [2]2 — Very true or often true

4. 4.I get scared if I sleep away from home.

   • [0]0 — Not true or hardly ever true
   • [1]1 — Somewhat true or sometimes true
   • [2]2 — Very true or often true

5. 5.I worry about other people liking me.

   • [0]0 — Not true or hardly ever true
   • [1]1 — Somewhat true or sometimes true
   • [2]2 — Very true or often true

6. 6.When I get frightened, I feel like passing out.

   • [0]0 — Not true or hardly ever true
   • [1]1 — Somewhat true or sometimes true
   • [2]2 — Very true or often true

7. 7.I am nervous.

   • [0]0 — Not true or hardly ever true
   • [1]1 — Somewhat true or sometimes true
   • [2]2 — Very true or often true

8. 8.I follow my mother or father wherever they go.

   • [0]0 — Not true or hardly ever true
   • [1]1 — Somewhat true or sometimes true
   • [2]2 — Very true or often true

9. 9.People tell me that I look nervous.

   • [0]0 — Not true or hardly ever true
   • [1]1 — Somewhat true or sometimes true
   • [2]2 — Very true or often true

10. 10.I feel nervous with people I don't know well.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

11. 11.I get stomachaches at school.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

12. 12.When I get frightened, I feel like I am going crazy.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

13. 13.I worry about sleeping alone.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

14. 14.I worry about being as good as other kids.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

15. 15.When I get frightened, I feel like things are not real.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

16. 16.I have nightmares about something bad happening to my parents.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

17. 17.I worry about going to school.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

18. 18.When I get frightened, my heart beats fast.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

19. 19.I get shaky.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

20. 20.I have nightmares about something bad happening to me.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

21. 21.I worry about things working out for me.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

22. 22.When I get frightened, I sweat a lot.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

23. 23.I am a worrier.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

24. 24.I get really frightened for no reason at all.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

25. 25.I am afraid to be alone in the house.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

26. 26.It is hard for me to talk with people I don't know well.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

27. 27.When I get frightened, I feel like I am choking.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

28. 28.People tell me that I worry too much.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

29. 29.I don't like to be away from my family.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

30. 30.I am afraid of having anxiety (or panic) attacks.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

31. 31.I worry that something bad might happen to my parents.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

32. 32.I feel shy with people I don't know well.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

33. 33.I worry about what is going to happen in the future.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

34. 34.When I get frightened, I feel like throwing up.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

35. 35.I worry about how well I do things.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

36. 36.I am scared to go to school.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

37. 37.I worry about things that have already happened.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

38. 38.When I get frightened, I feel dizzy.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

39. 39.I feel nervous when I am with other children or adults and I have to do something while they watch me (for example: read aloud, speak, play a game, play a sport).

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

40. 40.I feel nervous when I am going to parties, dances, or any place where there will be people that I don't know well.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true

41. 41.I am shy.

    • [0]0 — Not true or hardly ever true
    • [1]1 — Somewhat true or sometimes true
    • [2]2 — Very true or often true