01732 808 626 info@thinkcbt.com

01732 808 626 info@thinkcbt.com

01732 808 626 info@thinkcbt.com

Penn State Worry Questionnaire
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This questionnaire is not designed to provide a definitive psychological diagnosis or to take the place of a professional consultation. Please answer all questions as accurately and honestly as possible.


Instructions

The following questions ask about thoughts, feelings, and behaviors that you may have had about social situations. Usual social situations include: public speaking, speaking in meetings, attending social events or parties, introducing yourself to others, having conversations, giving and receiving compliments, making requests of others, and eating and writing in public. Please respond to each item by marking one box per row.


During the PAST 7 DAYS I have...
1. felt moments of sudden terror, fear, or fright in social situations.





2. felt anxious, worried, or nervous about social situations





3. had thoughts of being rejected, humiliated, embarrassed, ridiculed, or offending others





4. felt a racing heart, sweaty, trouble breathing, faint, or shaky in social situations





5. felt tense muscles, felt on edge or restless, or had trouble relaxing in social situations





6. avoided, or did not approach or enter, social situations





7. left social situations early or participated only minimally (e.g., said little, avoided eye contact)





8. spent a lot of time preparing what to say or how to act in social situations





9. distracted myself to avoid thinking about social situations





10. needed help to cope with social situations (e.g., alcohol or medications, superstitious objects)