Math Anxiety Survey & Evaluation

Math Anxiety Survey & Evaluation

Complete this questionnaire to assess math anxiety levels and receive personalized recommendations

Section A: Student Self-Assessment

Instructions: Select the number that best describes how much you agree with each statement. (1 = Strongly Disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly Agree)

Section B: Teacher Observation Checklist

Instructions: Select the option that matches how often you observe each behavior.

Section C: Causes & Triggers

For Students (short answers):
For Teachers (short answers):

Section D: Remedy Testing

Interventions Tried (select all that apply):
Evaluation Metrics (short answers):

Section E: Reflection

Math Anxiety Assessment Results

Self-Assessment Score

0
Not Assessed

Out of 35 possible points

Observation Score

0
Not Assessed

Out of 10 possible points

Overall Assessment

0%
Not Assessed

Based on combined metrics

Personalized Recommendations

Based on your assessment results, here are recommended strategies to address math anxiety:

Interventions You've Already Tried:

Key Insights from Your Responses:

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