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Read each statement carefully and answer two questions about that statement. The first question asks how ANXIOUS or FEARFUL you feel in that situation. The second question asks how often you AVOID that situation. Please base your ratings on the way that the situations have affected you in the LAST WEEK.





Telephoning in public. Q1, Fear/Anxiety:





Telephoning in public. Q2: Avoidance:





Participating in small groups. Q1, Fear/Anxiety:





Participating in small groups. Q2, Avoidance:





Eating in public places. Q1, Fear/Anxiety:





Eating in public places. Q2, Avoidance:





Drinking with others in public places. Q1, Fear/Anxiety:





Drinking with others in public places. Q2, Avoidance:





Talking to people in authority. Q1, Fear/Anxiety:





Talking to people in authority. Q2, Avoidance:





Acting, performing or giving a talk in front of an audience. Q1, Fear/Anxiety:





Acting, performing or giving a talk in front of an audience. Q2, Avoidance:





Going to a party. Q1, Fear/Anxiety:





Going to a party. Q2, Avoidance:





Working while being observed. Q1, Fear/Anxiety:





Working while being observed. Q2, Avoidance:





Writing while being observed. Q1, Fear/Anxiety:





Writing while being observed. Q2, Avoidance:





Calling someone you don't know very well. Q1, Fear/Anxiety:





Calling someone you don't know very well. Q2, Avoidance:





Talking with people you don't know very well. Q1, Fear/Anxiety:





Talking with people you don't know very well. Q2, Avoidance:





Meeting strangers. Q1, Fear/Anxiety:





Meeting strangers. Q2, Avoidance:





Urinating in a public bathroom. Q1, Fear/Anxiety:





Urinating in a public bathroom. Q2, Avoidance:





Entering a room when others are already seated. Q1, Fear/Anxiety:





Entering a room when others are already seated. Q2, Avoidance:





Being the center of attention. Q1, Fear/Anxiety:





Being the center of attention. Q2, Avoidance:





Speaking up at a meeting. Q1, Fear/Anxiety:





Speaking up at a meeting. Q2, Avoidance:





Taking a test. Q1, Fear/Anxiety:





Taking a test. Q2, Avoidance:





Expressing a disagreement or disapproval to people you don't know very well. Q1, Fear/Anxiety:





Expressing a disagreement or disapproval to people you don't know very well. Q2, Avoidance:





Looking at people you don't know very well in the eyes. Q1, Fear/Anxiety:





Looking at people you don't know very well in the eyes. Q2, Avoidance:





Giving a report to a group. Q1, Fear/Anxiety:





Giving a report to a group. Q2, Avoidance:





Trying to pick up someone. Q1, Fear/Anxiety:





Trying to pick up someone. Q2, Avoidance:





Returning goods to a store. Q1, Fear/Anxiety:





Returning goods to a store. Q2, Avoidance:





Giving a party. Q1, Fear/Anxiety:





Giving a party. Q2, Avoidance:





Resisting a high pressure salesperson. Q1, Fear/Anxiety:





Resisting a high pressure salesperson. Q2, Avoidance:





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