Scottish Highland dance has a long history dating back over a thousand years. The tradition is carried in modern-day practice in competitions and festivals, with dancers performing the dances in kilts to bagpipe music. This study introduces the unique world of Highland dance and examines the current research issue of performance anxiety among practitioners. This research investigates the effects of multiple factors such as competitive level, years of experience, age, pressure from teachers or parents, injury, and previous competition success on performance anxiety experience among competitive Highland dancers. Method: This study uses a survey instrument to study participants’ experiences. Survey links were distributed through social media and to email addresses. The survey consists of open and close-ended questions about competitive experience and performance anxiety symptoms. Qualitative data were analyzed using in-vivo and values coding, and quantitative ranges, and percentages were calculated. Forty-six female dancers from ages of 13 to 52 participated in the survey. Participants’ competitive years ranged from 2 to 32 years. Results: Sixty-five percent of participants answered that they frequently experienced performance anxiety. The most common worry was not performing as well as they could; the most common somatic symptom was nausea, and the most common cognitive symptoms were feelings of worry and doubt. The participant’s pre-competition mediation routines included listening to music, warming up, eating a good meal, walking through steps, and hydrating. The majority of participants utilized breathing techniques to alleviate performance anxiety. Poignantly, 65% of participants responded that the most influential factor responsible for increasing performance anxiety was pressure from within. In regard to mental health, 39 (89%) dancers commented on not having enough education on mental health, and 41 (93%) mentioned needing more resources. This study is limited due to the lack of balanced gender, competitive level representations, and many incomplete responses.