social cognitions questionnaire

social cognitions questionnaire
 
name: ...................................................................             date: ...........................
 
Listed below are some thoughts that go through people’s minds when they are nervous or frightened. Indicate‚ on the LEFT hand side of the form‚ how often in the last week each thought has occurred; rate each thought from 1 to 5 using the following scale:
1. Thought never occurs;   2. Thought rarely occurs;
3. Thought occurs during half of the times when I am nervous;
4. Thought usually occurs; 5. Thought always occurs when I am nervous
___
I will be unable to speak
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___
I am unlikeable
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I am going to tremble or shake uncontrollably
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People will stare at me
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I am foolish
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People will reject me
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I will be paralysed with fear
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I will dr‎op or spill things
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I am going to be sick
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I am inadequate
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I will babble or talk funny
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I am inferior
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I will be unable to concentrate
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I will be unable to write properly
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People are not interested in me
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People won’t like me
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I am vulnerable
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I will sweat/perspire
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I am going red
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I am weird/different
___
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People will see I am nervous
___
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People think I am boring
___
 
___
___
 
___
Other thoughts not listed (please specify):
_________________________________        ___
____________________________________
____________________________________
 
 
When you feel anxious how much do you believe each thought to be true. Please rate each thought by choosing a number from the scale below‚ and put the number which applies on the line on the RIGHT hand side of the form.
0
 10
 20
 30
 40
 50
 60
 70
 80
 90
 100
 I do not believe                                                                I am completely convinced                                                                                                                                
 this thought                                                                        this thought is true                                                        
SCQ: developed by Adrian Wells‚ Lucia Stopa & David M Clark (1993)

 

Social Cognitions Questionnaire (PDF file and Word doc): this questionnaire assesses the frequency and degree of belief in 22 thoughts that may go through people's minds when they feel socially frightened or anxious.  There is additional space for writing down and rating less common‚ more personalized "catastrophic" social concerns. 
http://www.goodmedicine.org.uk/stressedtozest/2013/09/assessment-monitoring-questionnaires-cbt-treatment-social-anxiety-disorder