The following questions ask about thoughts, feelings, and behaviors you may have had in the following situations: crowds, public places, using transportation (e.g., buses, planes, trains), traveling alone, or away from home.

Please respond to each item by marking one box per row.

During the last 7 days, I have....

Never
Occasionally
Half of the time
Most of the time
All of the time

Never
Occasionally
Half of the time
Most of the time
All of the time

Never
Occasionally
Half of the time
Most of the time
All of the time

Never
Occasionally
Half of the time
Most of the time
All of the time

Never
Occasionally
Half of the time
Most of the time
All of the time

Never
Occasionally
Half of the time
Most of the time
All of the time

Never
Occasionally
Half of the time
Most of the time
All of the time

Never
Occasionally
Half of the time
Most of the time
All of the time

Never
Occasionally
Half of the time
Most of the time
All of the time

Never
Occasionally
Half of the time
Most of the time
All of the time