Instruction: For each of the following statements, please select the point on the scale that you feel is most appropriate in describing the anxiety and avoidance behaviors.

1Using a telephone in public
2Participating in a small group activity
3Eating in public
4Drinking with others
5Talking to someone in authority
6Acting, performing, or speaking in front of an audience
7Going to a party
8Working while being observed
9Writing while being observed
10Calling someone you don't know very well
11Talking face to face with someone you don't know very well
12Meeting strangers
13Urinating in a public bathroom
14Entering a room when others are already seated
15Being the center of attention
16Speaking up at a meeting
17Taking a test of your ability, skill, or knowledge
18Expressing disagreement or disapproval to someone you don't know very well
19Looking someone who you don't know very well straight in the eyes
20Giving a prepared oral talk to a group
21Trying to make someone's acquaintance for the purpose of a romantic/sexual relationship
22Returning goods to a store for a refund
23Giving a party
24Resisting a high pressure sales person