Social Anxiety Questionnaire for Adults (SAQ-A30) Below are a series of social situations that may or may not cause you UNEASE, STRESS, or NERVOUSNESS. Please place an on the number next to each “X” social situation that best reflects your reaction, where "1" represents no unease, stress, or nervousness and "5" represents very high or extreme unease, stress, or nervousness. If you have never experienced the situation described, please imagine what your level of UNEASE, STRESS, or NERVOUSNESS might be if you were in that situation, and rate how you imagine you would feel by placing an on the corresponding number. “X” Level of Unease, Stress, or Nervousnessç Not at all Slight Moderate High Very high or or very slight Extremely high 1 2 3 4 5 Please rate all the items and do so honestly; do not worry about your answer because there are no right or wrong ones. 1. Greeting someone and being ignored 1 2 3 4 – – – – 5 2. Having to ask a neighbor to stop making noise 1 2 3 4 – – – – 5 3. Speaking in public 1 2 3 4 5 – – – – 4. Asking someone attractive of the opposite sex for a date 1 2 3 4 – – – – 5 5. Complaining to the waiter my food 1 2 3 4 5 – – – – 6. Feeling watched by people of the opposite sex 1 2 3 4 – – – – 5 7. Participating in a meeting with people in authority 1 2 3 4 – – – 5 – 8. Talking to someone who isn't paying attention to what I am saying 1 2 3 4 – – – 5 – 9. Refusing when asked to do something I don't like doing 1 2 3 4 – – – 5 –
Social Anxiety Questionnaire for Adults (SAQ-A30) Below are a series of social situations that may or may not cause you UNEASE, STRESS, or NERVOUSNESS. Please place an “X” on the number next to each social situation that best reflects your reaction, where "1" represents no unease, stress, or nervousness and "5" represents very high or extreme unease, stress, or nervousness. If you have never experienced the situation described, please imagine what your level of UNEASE, STRESS, or NERVOUSNESS might be if you were in that situation, and rate how you imagine you would feel by placing an “X” on the corresponding number. Level of Unease, Stress, or Nervousnessç Not at all Slight Moderate High Very high or or very slight Extremely high 1 2 3 4 5 Please rate all the items and do so honestly; do not worry about your answer because there are no right or wrong ones. 1. Greeting someone and being ignored 1 – 2 – 3 – 4 – 5 2. Having to ask a neighbor to stop making noise 1 – 2 – 3 – 4 – 5 3. Speaking in public 1 – 2 – 3 – 4 – 5 4. Asking someone attractive of the opposite sex for a date 1 – 2 – 3 – 4 – 5 5. Complaining to the waiter my food 1 – 2 – 3 – 4 – 5 6. Feeling watched by people of the opposite sex 1 – 2 – 3 – 4 – 5 7. Participating in a meeting with people in authority 1 – 2 – 3 – 4 – 5 8. Talking to someone who isn't paying attention to what I am saying 1 – 2 – 3 – 4 – 5 9. Refusing when asked to do something I don't like doing 1 – 2 – 3 – 4 – 5