This study investigates the use of story telling as a method of measuring children's auxiety during hospitalization. Sixty-seven hospitalized children were asked to create stories about pictures they were shown. The stories were categorized as negative or positive in tone and, hence, the children were categorized as anxious or not anxious. Children who told negative stories displayed significantly more negative behaviors and showed significantly higher anxiety levels and poorer adjustment to hospitalization as measured by observational methods. The most anxious children were male, black, and rural. Implications for practitioners who work with children in medical settings are discussed.