Question 1: Do you get anxious if you have to speak or perform in any way in
front of a group of strangers?
Question 2: Do you worry if you make a fool of yourself, or feel you have been
made to look foolish?
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?
Question 4: Are you easily hurt by what other people do or say to you?
Question 5: Do you keep in the background on social occasions?
Question 6: Do you have changes of mood that you cannot explain?
Question 7: Do you feel uncomfortable when you meet new people?
Question 8: Do you day-dream frequently, i.e., indulge in fantasies not involving
Question 9: Do you get discouraged easily, e.g., by failure or criticism?
Question 10: Do you say things in haste and then regret them?
Question 11: Are you ever disturbed by the mere presence of other people?
Question 12: Do you cry easily?
Question 13: Does it bother you to have people watch you work even when you do
Question 14: Does criticism hurt you badly?
Question 15: Do you cross the street to avoid meeting someone?
Question 16: At a reception or tea do you go out of your way to avoid meeting the
important person present?
Question 17: Do you often feel just miserable?
Question 18: Do you hesitate to volunteer in a discussion or debate with a group of
people whom you know more or less?
Question 19: Do you have a sense of isolation, either when alone or among people?
Question 20: Are you self-conscious before ‘superiors’ (teachers, employers,
Question 21: Do you lack confidence in your general ability to do things and to cope
Question 22: Are you self-conscious about your appearance even when you are
well-dressed and groomed?
Question 23: Are you scared at the sight of blood, injuries, and destruction even
though there is no danger to you?
Question 24: Do you feel that other people are better than you?
Question 25: Is it hard for you to make up your mind?