RCADS Parent Reported

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Step 1 of 5

Name*
MM slash DD slash YYYY
Time*
:

1. My child worries about things
2. My child feels sad or empty
3. When my child has a problem, he/she gets a funny feeling in his/her stomach
4. My child worries when he/she thinks he/she has done poorly at something
5. My child feels afraid of being alone at home
6. Nothing is much fun for my child anymore
7. My child feels scared when taking a test
8. My child worries when he/she thinks someone is angry with him/her
9. My child worries about being away from me
10. My child is bothered by bad or silly thoughts or pictures in his/her mind