[saiya-jin]

Yes it does, definitely for me, depending on the route. But I have great imagination, my internal renderer can project a new house construction in 2 seconds but can also in 0.1s project gnarly consequences of the fall right here right now. With experience you get better but I've never lost it, just became better at managing it (this is the growth part I mentioned).

Indoor routes are generally very safe due to frequent bolts, outdoor it depends, with bolts easily 4-5m apart, not so much. I still talk purely about sport climbing with drilled bolts, not trad climbing where you put expansion devices into cracks yourself or wedge tiny metal bits and pray intensely you won't actually fall on them.

I don't want to go into detailed climbing & fall physics but if in such a route you fall just before next bolt (or during an attempt to clip into it), you can easily swing up to 8m down, hit a ledge, part of rock with serious force, or just be smashed against rock face hard (if you are in overhang then all is fine obviously, just belayer will fly hard). Broken/twisted ankles, wrists etc are not that uncommon in such situation, or worse depending on position, usage of helmet etc.