Never	Occasionally	Half of the time	Most of the time	All of the time
…felt moments of sudden terror, fear or fright
in social situations	0	1	2	3	4
… felt anxious, worried, or nervous about
social situations	0	1	2	3	4
… had thoughts of being rejected, humiliated,	0	1	2	3	4
embarrassed, ridiculed or offending others
… felt a racing heart, sweaty, trouble breathing,	0	1	2	3	4
faint, or shaky in social situations
… felt tense muscles, on edge or restless, or	0	1	2	3	4
trouble relaxing in social situations
… avoided, or did not approach or enter, social	0	1	2	3	4
situations
… left social situations early or participated only	0	1	2	3	4
minimally (e.g. said little, avoided eye contact)
… spent a lot of time preparing what to say or how	0	1	2	3	4
to act in social situations
… distracted myself to avoid thinking about social	0	1	2	3	4
situations
… needed help to cope with social situations	0	1	2	3	4
(e.g. alcohol or medications, superstitious objects)

Reprinted with permission from American Psychiatric Association. Copyright © 2012, American Psychiatric Association. All rights reserved.