Children's Fear Scale

Graphic of the Children's Fear Scale

This is a smaller version of the Children’s Fear Scale images – please follow the link below to download the full-size pdf version of the CFS with instructions (English).

The Children’s Fear Scale was adapted from the Faces Anxiety Scale (McKinley, Coote, & Stein-Parbury, 2003) to measure fear in children undergoing painful medical procedures. The initial validation study (McMurtry, Noel, Chambers, & McGrath, 2011) with children undergoing venipuncture demonstrated construct validity (through high concurrent validity with another measure of child fear and moderate discriminant validity with child coping behaviour) as well as test-retest and interrater reliability.

*Please note that in other, earlier publications by our team, the scale was referred to as the Faces Anxiety Scale for Children.

Permission For Use

No permission is required for clinical and research use of the CFS.

Link To Download

Download the Children’s Fear Scale and Instructions (English) PDF


Initial Validation Study: McMurtry, C.M., Noel, M., Chambers, C.T., McGrath, P.J. (2011). Children’s fear during procedural pain: Preliminary investigation of the Children’s Fear Scale. Health Psychology, Advanced Access Online.

Original Faces Anxiety Scale: McKinley, S., Coote, K., & Stein-Parbury, J. S. (2003). Development and testing of a faces scale for the assessment of anxiety in critically ill patients. Journal of Advanced Nursing, 41, 73-79.