Name *

First Name

Last Name

I have trouble sleeping the night before a test.

Never

Sometimes

Usually

Before a test, I get a headache.

Never

Sometimes

Usually

I lose my appetite before a test.

Never

Sometimes

Usually

Because of panic, I have cut class on a test day.

Never

Sometimes

Usually

My heart pounds just before or during a test.

Never

Sometimes

Usually

During a test, my palms sweat.

Never

Sometimes

Usually

During a test, I have become nauseated and had to leave the classroom.

Never

Sometimes

Usually

I have had pains in my neck, back, or legs during a test.

Never

Sometimes

Usually

I feel nervous and jittery when I am taking a test.

Never

Sometimes

Usually

During a test, my chest feels tight and I have trouble remembering.

Never

Sometimes

Usually

I make careless errors on tests.

Never

Sometimes

Usually

My mind goes blank during tests.

Never

Sometimes

Usually

I worry when other students are finished before I am.

Never

Sometimes

Usually

I feel pushed for time when I am taking a test.

Never

Sometimes

Usually

I worry that I am doing poorly on a test and that everyone else is doing well.

Never

Sometimes

Usually

When I am taking a test, I think about my past failures.

Never

Sometimes

Usually

During a test, I feel as if I studied all the wrong things.

Never

Sometimes

Usually

I can‘t think clearly during tests.

Never

Sometimes

Usually

I have a hard time understanding and remembering directions when I am taking a test.

Never

Sometimes

Usually

After a test, I remember answers to questions I either left blank or answered incorrectly.

Never

Sometimes

Usually