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