01732 808 626 info@thinkcbt.com

01732 808 626 info@thinkcbt.com

01732 808 626 info@thinkcbt.com

Social Anxiety Assessment - SPIN
You can respond anonymously, and no data will be retained from this assessment. If you choose to include your initials and an email address, your results will be automatically sent to the email address provided. Please check that the email address has been entered correctly before submitting this form. All client information is managed on a strictly confidential basis. Please Note: Whilst every effort is made to ensure that our system is securely encrypted, email is not a completely secure means of communication. Think CBT does not accept liability for loss or theft of personal data where any individual chooses to transmit or receive information via email.
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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.

Please choose the option that best describes how you have been feeling over the past week or other period


1. I am afraid of people in authority
         
2. I am bothered by blushing in front of people
         
3. Parties and social events scare me
         
4. I avoid talking to people I dont know
         
5. Being criticised scares me a lot
         
6. I avoid doing things or speaking to people for fear of embarrassment
         
7. sweating in front of people causes me distress
         
8. I avoid going to parties
         
9. I avoid activities in which I am the centre of attention
         
10. Talking to strangers scares me
         
11. I avoid having to give speeches
         
12. I would do anything to avoid being criticized
         
13. Heart palpitations bother me when I am around people
         
14. I am afraid of doing things when people might be watching
         
15. Being embarrassed or looking stupid are among my worse fears
         
16. I avoid speaking to anyone in authority
         
17. Trembling or shaking in front of others is distressing to me