
Child Anxiety Survey
Please read each statement and determine which option best describes your child. Please just consider the answer for each question and proceed down the page through the five questions.
Question 1
Some kids and teenagers feel very scared or uncomfortable about certain things (like animals or places). They may avoid these situations more than other kids their age. Some may cry, have tantrums, or get angry when asked to face them.
Does this sound like your child? Yes, No, or Not Sure
Question 2
Some children and teenagers feel very anxious when away from their parents or home. They may cry, beg their parents not to leave, or become upset even before the separation. They might worry something bad will happen or that they will miss their parents too much, and they often try to stay close.
Does this sound like your child? Yes, No, or Not Sure
Question 3
Some children and teenagers feel very nervous about going to school. They might try to stay home, avoid logging into virtual classes, or leave school early. Some may visit the nurse often, complain of feeling sick, or ask to call home. Others may avoid being seen on camera during online classes.
Does this sound like your child? Yes, No, or Not Sure
Question 4
Some children and teenagers feel nervous in social situations—like at school, in restaurants, at parties, or when meeting new people. They may worry a lot about what others think, feel scared of being embarrassed, or fear that others will laugh at or reject them.
Does this sound like your child? Yes, No, or Not Sure
Question 5
Some children and teenagers seem to worry all the time. They may worry about school performance, the future, friends, family, health, or many other things.
Does this sound like your child? Yes, No, or Not Sure
If you answered YES to one or more questions, your child may be experiencing more worry or distress than is typical for their age. The good news is that effective help is available—and early support can make a big difference.