Never	Almost never	Some‐times	Often	Always
1	I suddenly felt panicky, fearful or frightened in social situations	0	1	2	3	4
2	I felt anxious, worried, or nervous about social situations	0	1	2	3	4
3	I had thoughts of being rejected, I was ashamed, shy, I thought I was made fun of, or that I had upset others	0	1	2	3	4
4	I felt my heart beating fast, felt sweaty, had trouble breathing, passed out, or felt shaky in social situations	0	1	2	3	4
5	I felt tense muscles, was unable to sit still, or had trouble relaxing in social situations	0	1	2	3	4
6	I stayed away from social situations	0	1	2	3	4
7	I left social situations early or I did not participate much (for example, said little, or did not make eye contact with other people)	0	1	2	3	4
8	I spent a lot of time thinking about what to say or do in social situations	0	1	2	3	4
9	I did other things to stop thinking about social situations	0	1	2	3	4
10	I needed help to deal with social situations (for example, medicines, lucky charms, other people)	0	1	2	3	4

Reprinted with permission from American Psychiatric Association. Copyright © 2014, American Psychiatric Association. All rights reserved.