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The following set of questions may be helpful in assessing anxiety in children (6-17 years old). To be completed by a parent/guardian.
This screening tool is not to be used as a substitute for medical or mental health advice, diagnosis, or treatment of any health condition or problem. This screening is simply provided as an educational tool. Users should not rely on information provided by this tool for medical or mental health decision making, and should direct all questions regarding medical or mental health matters to their physician or other health care provider. Use of the screening tool does not create an express or implied doctor-patient relationship. New Horizons Center for Healing does not record specific user information and cannot contact users of the assessment. Users should consult with a physician or other mental health professional prior to making any decision, or undertaking any action or not undertaking any action related to any health care problem or issue that users may have at any time, now or in the future. In using the screening you agree that neither New Horizons Center for Healing nor any other party is or will be liable or otherwise responsible for any decision made or any action taken or any action not taken due to your use of any information presented in the screening.
New Horizons Center for Healing makes no warranties, express or implied, regarding the accuracy, completeness, timeliness, comparative or controversial nature, or usefulness of any information contained or referenced in the assessment. New Horizons Center for Healing does not assume any risk whatsoever for use of the assessment or the information contained therein.
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Categories
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23 or below = No concern for anxiety or slight anxiety
24 to 27 = Mild Anxiety
28 to 37 = Moderate Anxiety
38 or over = Severe Anxiety
This screening tool is not to be used as a substitute for medical or mental health advice, diagnosis, or treatment of any health condition or problem. This screening is simply provided as an educational tool. Users should not rely on information provided by this tool for medical or mental health decision making, and should direct all questions regarding medical or mental health matters to their physician or other health care provider. Use of the screening tool does not create an express or implied doctor-patient relationship. New Horizons Center for Healing does not record specific user information and cannot contact users of the assessment. Users should consult with a physician or other mental health professional prior to making any decision, or undertaking any action or not undertaking any action related to any health care problem or issue that users may have at any time, now or in the future. In using the screening you agree that neither New Horizons Center for Healing nor any other party is or will be liable or otherwise responsible for any decision made or any action taken or any action not taken due to your use of any information presented in the screening.
New Horizons Center for Healing makes no warranties, express or implied, regarding the accuracy, completeness, timeliness, comparative or controversial nature, or usefulness of any information contained or referenced in the assessment. New Horizons Center for Healing does not assume any risk whatsoever for use of the assessment or the information contained therein.
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Question 1 of 11
1. Question
My Child said that he/she felt like something awful might happen.
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Question 2 of 11
2. Question
Said that he or she felt scared
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Question 3 of 11
3. Question
Said that he or she felt worried
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Question 4 of 11
4. Question
Said that he or she felt nervous
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Question 5 of 11
5. Question
I saw that my child got scared really easy
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Question 6 of 11
6. Question
My child was afraid of going to school
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Question 7 of 11
7. Question
Has either been eating too much or not enough
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Question 8 of 11
8. Question
Has wanted to be alone and by him or herself
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Question 9 of 11
9. Question
Has not cared about anything
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Question 10 of 11
10. Question
Has felt alone and feels no one understands him or her
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Question 11 of 11
11. Question
Has felt like a failure and that he/she can’t do anything right