social behavior questionnaire

social behavior questionnaire
 
name: ...................................................................             date: ...........................
 
Please circle the word which best describes how often you do the following things when you are anxious in or before a social situation.
Use alcohol to manage anxiety
Always
Often
Sometimes
Never
Try not to attract attention
Never
Sometimes
Often
Always
Make an effort to get your words right
Never
Sometimes
Often
Always
Check that you are coming across well
Always
Often
Sometimes
Never
Avoid eye contact
Never
Sometimes
Often
Always
Talk less
Always
Often
Sometimes
Never
Avoid asking questions
Always
Often
Sometimes
Never
Try to picture how you appear to others
Never
Sometimes
Often
Always
Grip cups or glasses tightly
Never
Sometimes
Often
Always
Position yourself so as not to be noticed
Always
Often
Sometimes
Never
Try to control shaking
Always
Often
Sometimes
Never
Choose clothes that will prevent or conceal sweating
Never
Sometimes
Often
Always
Wear clothes or makeup to hide blushing
Never
Sometimes
Often
Always
Rehearse sentences in your mind
Always
Often
Sometimes
Never
Censor what you are going to say
Always
Often
Sometimes
Never
Blank out or switch off mentally
Never
Sometimes
Often
Always
Avoid talking about yourself
Never
Sometimes
Often
Always
Keep still
Always
Often
Sometimes
Never
Ask lots of questions
Always
Often
Sometimes
Never
Think positive
Never
Sometimes
Often
Always
Stay on the edge of groups
Never
Sometimes
Often
Always
Avoid pauses in speech
Always
Often
Sometimes
Never
Hide your face
Never
Sometimes
Often
Always
Try to think about other things
Always
Often
Sometimes
Never
Talk more
Always
Often
Sometimes
Never
Try to act normal
Always
Often
Sometimes
Never
Try to keep tight control of your behaviour
Never
Sometimes
Often
Always
Make an effort to come across well
Always
Often
Sometimes
Never
 
 
Behaviors Questionnaire (PDF file and Word doc): this questionnaire assesses the frequency of 28 "safety behaviours" that people suffering from social anxiety may perform.  It is suggested that these behaviors often seem like they help the anxiety in the short term‚ but in the longer term there is a real danger that they maintain the problem.
http://www.goodmedicine.org.uk/stressedtozest/2013/09/assessment-monitoring-questionnaires-cbt-treatment-social-anxiety-disorder