Fear-of-Intimacy Scale (FIS)

Part A
Note. In each statement “O” refers to the person who would be in the close relationship with you.
1.    I would feel uncomfortable telling O about things in the past that I have felt ashamed of.
2.    I would feel uneasy talking with O about something that has hurt me deeply.
3.    I would feel comfortable expressing my true feelings to O.
4.    If O were upset I would sometimes be afraid of showing that I care.
5.    I might be afraid to confide my innermost feelings to O.
6.    I would feel at ease telling O that I care about him/her.
7.    I would have a feeling of complete togetherness with O.
8.    I would be comfortable discussing significant problems with O.
9.    A part of me would be afraid to make a long-term commitment to O.
10.I would feel comfortable telling my experiences‚ even sad ones‚ to O.
11.I would probably feel nervous showing O strong feelings of affection. 
12.I would find it difficult being open with O about my personal thoughts.
13.I would feel uneasy with O depending on me for emotional support.
14.I would not be afraid to share with O what I dislike about myself.
15.I would be afraid to take the risk of being hurt in order to establish a closer relationship with O.
16.I would feel comfortable keeping very personal information to myself.
17.I would not be nervous about being spontaneous with O.
18.I would feel comfortable telling O things that I do not tell other people.
19.I would feel comfortable trusting O with my deepest thoughts and feelings.
20.I would sometimes feel uneasy if O told me about very personal matters.
21.I would be comfortable revealing to O what I feel are my shortcomings and handicaps.
22.I would be comfortable with ha‎ving a close emotional tie between us.
23.I would be afraid of sharing my private thoughts with O.
24.I would be afraid that I might not always feel close to O.
25.I would be comfortable telling O what my needs are.
26.I would be afraid that O would be more invested in the relationship than I would be.
27.I would feel uncomfortable about ha‎ving open and honest communication with O.
28.I would sometimes feel uncomfortable listening to O’s personal problems.
29.I would feel at ease to completely be myself around O.
30.I would feel relaxed being together and talking about our personal goals. 
Part B
31.I have shied away from opportunities to be close to someone.
32.I have held back my feelings in previous relationships.
33.There are people who think that I am afraid to get close to them.
34.There are people who think that I am not an easy person to get to know.
35.I have done things in previous relationships to keep me from developing closeness.
 
1 = Not at all ch‎aracteristic of me    2 = Slightly ch‎aracteristic of me    3 = Moderately ch‎aracteristic of me    4 = Very ch‎aracteristic of me    5 = Extremely ch‎aracteristic of me
Recode items: 3‚ 6-8‚ 10‚ 14‚ 17-19‚ 21‚ 22‚ 25‚ 27‚ 29‚ and 30.
 
This instrument can be found at: Healthy Marriages Compendium‚ Part 2
 

Descutner‚ Carol J.; Thelen‚ Mark H. (1991). Development and validation of a Fear-of-Intimacy Scale. Psychological Assessment: A Journal of Consulting and Clinical Psychology‚ 3(2)‚ 218-225.

Doi‚ S. C.‚ & Thelen‚ M. H. (1993). The fear of intimacy scale: Replication and extension. Psychological Assessment‚ 5(3)‚ 377-383 

Corcoran‚ K.‚ & Fischer‚ J. (2000). Measures for clinical practice: A sourcebook (Vol. 1). New York‚ NY: The Free Press.

Fallah-Zade H‚ Farzad W‚ 2012. Psychometric Properties of the fear of intimacy scale. Journal of Research in Psychological Health. 5(1): 70-79