Instructions:

For each item, select the one response that best describes how true the statement is for you.

Question Title

* 1. I get nervous if I have to speak with someone in authority (teacher, boss, etc.).

Question Title

* 2. I have difficulty making eye contact with others.

Question Title

* 3. I become tense if I have to talk about myself or my feelings.

Question Title

* 4. I find it difficult to be comfortable around coworkers.

Question Title

* 5. I find it easy to make friends my own age.

Question Title

* 6. I tense up if I meet an acquaintance in the street.

Question Title

* 7. I am uncomfortable in social situations.

Question Title

* 8. I feel tense if I am alone with just one other person.

Question Title

* 9. I am at ease meeting people at parties, etc.

Question Title

* 10. I have difficulty talking with other people.

Question Title

* 11. I find it easy to think of things to talk about.

Question Title

* 12. I worry about expressing myself in case I appear awkward.

Question Title

* 13. I find it difficult to disagree with another's point of view.

Question Title

* 14. I have difficulty talking to people to whom I find attractive.

Question Title

* 15. I find myself worrying that I won't know what to say in social situations.

Question Title

* 16. I have difficulty making eye contact with others.

Question Title

* 17. I feel I'll say something embarrassing when talking.

Question Title

* 18. I find myself worrying I will be ignored in group settings.

Question Title

* 19. I am tense in group settings.

Question Title

* 20. I am unsure whether to greet someone I know only slightly.

Question Title

* 21. I am interested in learning more about participating in a paid clinical trial for social anxiety.

Question Title

* 22. I am interested in learning more about participating in paid clinical trials for other indications.

Question Title

* 23. Thank you for completing the assessment. To get your anxiety score, please provide us with your name, email address and mobile number. All information collected will be kept confidential and not shared with outside parties.

SIAS Developer Reference:
Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social
phobia scrutiny fear and social interaction anxiety1. Behaviour Research and Therapy, 36(4),
455-470.
( Privacy & Cookie Notice

T