The purpose of this study was to understand the status of evaluative apprehension perfectionism and performance anxiety among college students majoring in music in a stage performance setting and to verify the relationship between evaluative concern perfectionism and performance anxiety; therefore, a questionnaire survey was conducted with 183 music majors from three colleges and universities in southwest China. The conclusions are as follows: first, both evaluative concerns perfectionism and performance anxiety of music college students have high levels, second, both evaluative concerns perfectionism and the subvariables concerns about mistakes, doubts about execution, and socially compulsive perfectionism are positively related to performance anxiety, and finally, both evaluative concerns perfectionism and the subvariables concerns about mistakes, doubts about execution, and socially compulsive perfectionism can positively influence performance anxiety, with socially compulsive perfectionism having the highest influence on performance anxiety.