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RCADS ONLINE — Child Form0/49 completed

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Girl
Boy

Questions *

0/47 answered
1

I worry about things

Never
Sometimes
Often
Always
2

I feel sad or empty

Never
Sometimes
Often
Always
3

When I have a problem, I get a funny feeling in my stomach

Never
Sometimes
Often
Always
4

I worry when I think I have done poorly at something

Never
Sometimes
Often
Always
5

I would feel afraid of being on my own at home

Never
Sometimes
Often
Always
6

Nothing is much fun anymore

Never
Sometimes
Often
Always
7

I feel scared when I have to take a test

Never
Sometimes
Often
Always
8

I feel worried when I think someone is angry with me

Never
Sometimes
Often
Always
9

I worry about being away from my parents

Never
Sometimes
Often
Always
10

I get bothered by bad or silly thoughts or pictures in my mind

Never
Sometimes
Often
Always
11

I have trouble sleeping

Never
Sometimes
Often
Always
12

I worry that I will do badly at my school work

Never
Sometimes
Often
Always
13

I worry that something awful will happen to someone in my family

Never
Sometimes
Often
Always
14

I suddenly feel as if I can't breathe when there is no reason for this

Never
Sometimes
Often
Always
15

I have problems with my appetite

Never
Sometimes
Often
Always
16

I have to keep checking that I have done things right (like the switch is off, or the door is locked)

Never
Sometimes
Often
Always
17

I feel scared if I have to sleep on my own

Never
Sometimes
Often
Always
18

I have trouble going to school in the mornings because I feel nervous or afraid

Never
Sometimes
Often
Always
19

I have no energy for things

Never
Sometimes
Often
Always
20

I worry I might look foolish

Never
Sometimes
Often
Always
21

I am tired a lot

Never
Sometimes
Often
Always
22

I worry that bad things will happen to me

Never
Sometimes
Often
Always
23

I can't seem to get bad or silly thoughts out of my head

Never
Sometimes
Often
Always
24

When I have a problem, my heart beats really fast

Never
Sometimes
Often
Always
25

I cannot think clearly

Never
Sometimes
Often
Always
26

I suddenly start to tremble or shake when there is no reason for this

Never
Sometimes
Often
Always
27

I worry that something bad will happen to me

Never
Sometimes
Often
Always
28

When I have a problem, I feel shaky

Never
Sometimes
Often
Always
29

I feel worthless

Never
Sometimes
Often
Always
30

I worry about making mistakes

Never
Sometimes
Often
Always
31

I have to think of special thoughts (like numbers or words) to stop bad things from happening

Never
Sometimes
Often
Always
32

I worry what other people think of me

Never
Sometimes
Often
Always
33

I am afraid of being in crowded places (like shopping centers, the movies, buses, busy playgrounds)

Never
Sometimes
Often
Always
34

All of a sudden I feel really scared for no reason at all

Never
Sometimes
Often
Always
35

I worry about what is going to happen

Never
Sometimes
Often
Always
36

I suddenly become dizzy or faint when there is no reason for this

Never
Sometimes
Often
Always
37

I think about death

Never
Sometimes
Often
Always
38

I feel afraid if I have to talk in front of my class

Never
Sometimes
Often
Always
39

My heart suddenly starts to beat too quickly for no reason

Never
Sometimes
Often
Always
40

I feel like I don't want to move

Never
Sometimes
Often
Always
41

I worry that I will suddenly get a scared feeling when there is nothing to be afraid of

Never
Sometimes
Often
Always
42

I have to do some things over and over again (like washing my hands, cleaning or putting things in a certain order)

Never
Sometimes
Often
Always
43

I feel afraid that I will make a fool of myself in front of people

Never
Sometimes
Often
Always
44

I have to do some things in just the right way to stop bad things from happening

Never
Sometimes
Often
Always
45

I worry when I go to bed at night

Never
Sometimes
Often
Always
46

I would feel scared if I had to stay away from home overnight

Never
Sometimes
Often
Always
47

I feel restless

Never
Sometimes
Often
Always

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