https://s.surveyplanet.com/ryqNrqg-G
(Send your email address to me at Alex.Rowe@loras.edu so I can send you your results, or Print out a hard copy and grade it yourself!)
SOCIAL ANXIETY TEST
Take the following test to see if you might have a problem with social anxiety. Please answer these questions with complete honesty.
Circle one of these numbers for each question about social situations. 0 for never feeling uncomfortable, 1 for sometimes feeling slightly uncomfortable, 2 for feeling moderately uncomfortable, 3 for feeling very uncomfortable, and 4 for feeling always uncomfortable in social situations. Take your time and think about your answers.
FEELING UNCOMFORTABLE
0 Never 1 Slightly 2 Moderately 3 Very 4 Always
1. Telephoning in public: 0 1 2 3 4
2. Giving a speech: 0 1 2 3 4
3. Going to parties: 0 1 2 3 4
4. Meeting new people: 0 1 2 3 4
5. Feeling like you will be judged when talking to people: 0 1 2 3 4
6. Having trouble making eye contact when talking with people: 0 1 2 3 4
7. Having trouble talking to strangers (being a cashier, sales person, asking for help at a store):
0 1 2 3 4
8. Your mind goes blank when being in social situations: 0 1 2 3 4
9. You have a upset stomach when meeting new people: 0 1 2 3 4
10. You blush or have a rapid heart beat when talking to people: 0 1 2 3 4
11. Difficulty eating with others: 0 1 2 3 4
12. Worried about not knowing what to say: 0 1 2 3 4
13. Worried about being the center of attention: 0 1 2 3 4
14. Worried about humiliating yourself: 0 1 2 3 4
15. Get dizzy, shaky, and tense muscles when talking to people: 0 1 2 3 4
16. You try to avoid social situations: 0 1 2 3 4
17. You feel awkward when you are with other people: 0 1 2 3 4
18. You try to avoid school or work: 0 1 2 3 4
Add the numbers you chose for each answer for a total score. Your total ___________
Social anxiety level based on your score:
[None: 0-20] [Slight: 21-30] [Moderate: 31-40] [High: 41-50] [ Severe: 51 & up]