The following questionnaire is for personal information only and is not meant to be a professional evaluation. As with many research questionnaires, this questionnaire may not be normed for online participants. Please take this into account when you receive the results. However, as more people complete these questionnaires the results will become more accurate. You may be asked after you complete the questionnaire to submit it for research purposes which will improve the accuracy of results.

This questionnaire assesses the degree of social anxiety that you experience.

The questions in this schedule are intended to indicate various emotional personality traits. It is not a test in any sense because there are no right nor wrong answers to any of the questions.  Choose the response that best describes how you would feel or respond.

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Question 1: Do you get anxious if you have to speak or perform in any way in front of a group of strangers?

Never
Somewhat
Half the time
Usually
Always

Question 2: Do you worry if you make a fool of yourself, or feel you have been made to look foolish?

Never
Somewhat
Half the time
Usually
Always

Question 3: Are you afraid of falling when you are on a high place from which there is no real danger of falling – for example, looking down from a balcony on the tenth floor?

Never
Somewhat
Half the time
Usually
Always

Question 4: Are you easily hurt by what other people do or say to you?

Never
Somewhat
Half the time
Usually
Always

Question 5: Do you keep in the background on social occasions?

Never
Somewhat
Half the time
Usually
Always

Question 6: Do you have changes of mood that you cannot explain?

Never
Somewhat
Half the time
Usually
Always

Question 7: Do you feel uncomfortable when you meet new people?

Never
Somewhat
Half the time
Usually
Always

Question 8: Do you day-dream frequently, i.e., indulge in fantasies not involving concrete situations?

Never
Somewhat
Half the time
Usually
Always

Question 9: Do you get discouraged easily, e.g., by failure or criticism?

Never
Somewhat
Half the time
Usually
Always

Question 10: Do you say things in haste and then regret them?

Never
Somewhat
Half the time
Usually
Always

Question 11: Are you ever disturbed by the mere presence of other people?

Never
Somewhat
Half the time
Usually
Always

Question 12: Do you cry easily?

Never
Somewhat
Half the time
Usually
Always

Question 13: Does it bother you to have people watch you work even when you do it well?

Never
Somewhat
Half the time
Usually
Always

Question 14: Does criticism hurt you badly?

Never
Somewhat
Half the time
Usually
Always

Question 15: Do you cross the street to avoid meeting someone?

Never
Somewhat
Half the time
Usually
Always

Question 16: At a reception or tea do you go out of your way to avoid meeting the important person present?

Never
Somewhat
Half the time
Usually
Always

Question 17: Do you often feel just miserable?

Never
Somewhat
Half the time
Usually
Always

Question 18: Do you hesitate to volunteer in a discussion or debate with a group of people whom you know more or less?

Never
Somewhat
Half the time
Usually
Always

Question 19: Do you have a sense of isolation, either when alone or among people?

Never
Somewhat
Half the time
Usually
Always

Question 20: Are you self-conscious before ‘superiors’ (teachers, employers, authorities)?

Never
Somewhat
Half the time
Usually
Always

Question 21: Do you lack confidence in your general ability to do things and to cope with situations?

Never
Somewhat
Half the time
Usually
Always

Question 22: Are you self-conscious about your appearance even when you are well-dressed and groomed?

Never
Somewhat
Half the time
Usually
Always

Question 23: Are you scared at the sight of blood, injuries, and destruction even though there is no danger to you?

Never
Somewhat
Half the time
Usually
Always

Question 24: Do you feel that other people are better than you?

Never
Somewhat
Half the time
Usually
Always

Question 25: Is it hard for you to make up your mind?

Never
Somewhat
Half the time
Usually
Always

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