55 Text Anxiety Scale

NIH Toolbox for Assessment of Neurological and Behavioral Function (NIA)

Attach 55 Test Anxiety Scale (TAS)

Adult Study Participants (baseline only + 1 retest)

OMB: 0925-0638

Document [pdf]
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Attachment 55
Test Anxiety Scale (TAS)

OMB: 0925-XXXX
Expiration Date: XX/XX/XXXX

Test Anxiety Scale (TAS)
Adults and Children 13-17
Estimated burden time: 4 minutes
[00TAS]

On the next screens, we will ask you questions about how you feel when you take
tests. Read each question carefully and answer as well as you can. After you make
your choice, the computer will automatically go on to the next question. 1
If you want to change your answer, click on the GO BACK button to return to the
previous question and then choose a different answer.
Click on the CONTINUE button when you are ready to begin.
[01TAS]

If I were to take an intelligence test, I would worry a great deal before taking it.
Yes
No

[02TAS]

During tests I find myself thinking of tasks unrelated to the task at hand.
Yes
No

[03TAS]

I have an uneasy, upset feeling before taking an important test.
Yes
No

Public reporting burden for this collection of information is estimated to average 2 1/2 hours per response, including
the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a currently valid OMB control number. Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions
for reducing this burden to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD
20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.

OMB: 0925-XXXX
Expiration Date: XX/XX/XXXX
[04TAS]

When taking a test, my emotional feelings interfere with my performance.
Yes
No

[05TAS]

I seem to defeat myself while working on important tests.
Yes
No

[06TAS]

As soon as a test is over I try to stop worrying about it, but I just can’t.
Yes
No

[07TAS]

Thinking about the score I may get interferes with my studying and performance on
tests.
Yes
No

[08TAS]

If I knew I was going to take an intelligence test, I would feel confident and relaxed
beforehand.
Yes
No

[09TAS]

Even when I’m well prepared for a test, I feel anxious about it.
Yes
No

OMB: 0925-XXXX
Expiration Date: XX/XX/XXXX
[10TAS]

I dread courses where the teacher has the habit of giving “pop” quizzes.
Yes
No

[11TAS]

Thoughts of doing poorly interfere with my performance on tests.
Yes
No

[12TAS]

I freeze up on things like intelligence tests and other important tests.
Yes
No


File Typeapplication/pdf
File TitleMicrosoft Word - Attach 55 Test Anxiety Scale (TAS)
AuthorVitali Ustsinovich
File Modified2011-03-23
File Created2011-03-23

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