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