For each of the following 24 situations, rate BOTH your fear/anxiety AND your avoidance over the past week. Each situation therefore contributes two scores.
1.Fear or anxiety — Telephoning in public
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
2.Avoidance — Telephoning in public
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
3.Fear or anxiety — Participating in small groups
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
4.Avoidance — Participating in small groups
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
5.Fear or anxiety — Eating in public places
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
6.Avoidance — Eating in public places
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
7.Fear or anxiety — Drinking with others in public
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
8.Avoidance — Drinking with others in public
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
9.Fear or anxiety — Talking to people in authority
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
10.Avoidance — Talking to people in authority
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
11.Fear or anxiety — Acting/performing in front of an audience
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
12.Avoidance — Acting/performing in front of an audience
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
13.Fear or anxiety — Going to a party
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
14.Avoidance — Going to a party
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
15.Fear or anxiety — Working while being observed
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
16.Avoidance — Working while being observed
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
17.Fear or anxiety — Writing while being observed
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
18.Avoidance — Writing while being observed
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
19.Fear or anxiety — Calling someone you don't know very well
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
20.Avoidance — Calling someone you don't know very well
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
21.Fear or anxiety — Talking with people you don't know very well
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
22.Avoidance — Talking with people you don't know very well
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
23.Fear or anxiety — Meeting strangers
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
24.Avoidance — Meeting strangers
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
25.Fear or anxiety — Urinating in a public bathroom
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
26.Avoidance — Urinating in a public bathroom
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
27.Fear or anxiety — Entering a room when others are already seated
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
28.Avoidance — Entering a room when others are already seated
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
29.Fear or anxiety — Being the center of attention
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
30.Avoidance — Being the center of attention
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
31.Fear or anxiety — Speaking up at a meeting
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
32.Avoidance — Speaking up at a meeting
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
33.Fear or anxiety — Taking a test
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
34.Avoidance — Taking a test
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
35.Fear or anxiety — Expressing disagreement or disapproval to people you don't know very well
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
36.Avoidance — Expressing disagreement or disapproval to people you don't know very well
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
37.Fear or anxiety — Looking at people you don't know very well in the eyes
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
38.Avoidance — Looking at people you don't know very well in the eyes
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
39.Fear or anxiety — Giving a report to a group
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
40.Avoidance — Giving a report to a group
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
41.Fear or anxiety — Trying to pick up someone
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
42.Avoidance — Trying to pick up someone
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
43.Fear or anxiety — Returning goods to a store
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
44.Avoidance — Returning goods to a store
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
45.Fear or anxiety — Giving a party
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
46.Avoidance — Giving a party
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
47.Fear or anxiety — Resisting a high-pressure salesperson
- [0]0 — None
- [1]1 — Mild
- [2]2 — Moderate
- [3]3 — Severe
48.Avoidance — Resisting a high-pressure salesperson
- [0]0 — Never (0%)
- [1]1 — Occasionally (1–33%)
- [2]2 — Often (34–66%)
- [3]3 — Usually (67–100%)
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