Rate how true you believe each of the following statements are true for your child, from extremely or always true to not at all or never true. Use the following 5-point scale. Note the gender references are made for readability only.

5 = extremely or always true
4 = highly or usually true
3 = moderately or sometimes true
2 = slightly or seldom true
1 = not at all or never true

___ 1. The closer my child gets to a major exam, the harder it is for her to concentrate on the material.
___ 2. When my child studies, he appears to worry he will not remember the material at the time of the exam.
___ 3. During important exams, my child thinks she is doing awful or she may fail.
___ 4. My child loses focus on important exams and cannot remember material he knew before the exam.
___ 5. My child finally remembers the answer to exam questions after the exam is finished.
___ 6. My child worries so much before a major exam she is too worn out to do her best on the actual exam.
___ 7. My child feels out of sorts or really not himself when he takes an important exam.
___ 8. My child finds her mind sometimes wanders when she is taking important exams.
___ 9. After an exam, my child worries whether he did well enough.
___ 10. My child struggles with writing assignments or avoids them as long as she can. She feels whatever she does will not be good enough.

TOTAL POINTS: _____

Scores between 10 – 19 indicate comfortably low test anxiety
Scores between 20 – 24 indicate normal or average test anxiety
Scores between 25 – 29 indicate high normal test anxiety
Scores between 30 – 34 indicate moderately high test anxiety
Scores between 35 – 39 indicate high test anxiety
Scores between 40 – 50 indicate extremely high test anxiety

* This is an altered version of Dr. Richard Driscoll’s ‘Westside Test Anxiety Scale’