Not At All

A Little Bit

Somewhat

Very Much

Extremely

1. I am afraid of people in authority.

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2. I am bothered by blushing in front of people.

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3. Parties and social events scare me.

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4. I avoid talking to people I don’t know.

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5. Being criticized scares me a lot.

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6. Fear of embarrassment causes me to avoid doing things or speaking to people.

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7. Sweating in front of people causes me distress.

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8. I avoid going to parties.

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9. I avoid activities in which I am the center of attention.

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10. Talking to strangers scares me.

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11. I avoid having to give speeches.

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12. I would do anything to avoid being criticized.

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13. Heart palpitations bother me when I am around people.

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14. I am afraid of doing things when people might be watching.

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15. Being embarrassed or looking stupid are my worst fears.

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16. I avoid speaking to anyone in authority.

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17. Trembling or shaking in front of others is distressing to me.

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