 This study developed a short and actionable ph-screener for adults living with type 1 diabetes, T1D, for use in routine clinical practice. The screener consists of nine items assessing two domains, worry, six items, and avoidance behavior, three items. It shows good internal consistency. Chrombatches alpha equals 0.88, and high correlations are equals 0.71, 0.75, with the hypoglycemia fear survey and moderate correlations with depression, anxiety, and diabetes distress scales are equals 0.44, 0.66. Additionally, it demonstrates a strong association with higher glycated hemoglobin, HbA1c, and number of comorbidities. This article was authored by Jingwen Liu, Jia Ling Poon, Jeffrey Bispham, and others.