Skip to main content Skip to bottom nav

Survey on Social Anxiety (It's really important)

User Profile: akeunae
akeunae September 25th, 2015

Hi guys! I know this forum is to introduce ourselves (I'm shannia and I also have social anxiety) but I'm new and I'm still confused with everything. I was wondering if you can answer my survey on social anxiety. It will help me in creating my mix media that will be expressing social anxiety and how it affects people. This survey will help my final product to be authentic, relatable, and accurate. This will mean a lot to me. Just posting this made me nervous, like what if no one answers this? The survey is below! You can copy and paste the questions.

Name: /Anonymous Gender: F/M

Survey: Social Anxiety

1. For you, what is Social Anxiety?

2. What do you mostly feel and think when youre in any social situation? Describe 3.

3. How will your body react when youre feeling stress, anxious, uneasy in a social situation? List 5 physical symptoms you always experience.

4. Out of the several social situations listed, choose 5 that always cause you the highest level of stress, anxiety, and, unease:

a. Speaking in public or in front of/to other people

b. Being criticized/teased/judged/watched

c. Making new friends

d. Attending a social event like party

e. Starting and continuing a conversation with person

f. Being reprimanded/scolded for doing something wrong

g. Making a mistake in front of other people

h. Talking to or greeting someone only to be ignored

i. Talking to a person whos superior or is in authority

j. Eye contact with other people

k. Telling someone he or she hurt your feelings or annoyed you

The following questions will be answered with Yes or No answers. Please answer them honestly.

5. Do you make irrational and negative scenarios of you in a social event ahead of time? _______

6. Are you constantly afraid of making a mistake and being judged by others? ______

7. Are you afraid of meeting new people and being in an unfamiliar situation? _____

8. Does your fear of embarrassment kept you from doing things you always want to do? And speaking to other people? _____

9. Do you avoid social situations at all cost? _____

10. Have you ever had an anxiety or panic attack resulted from your anxiety about a social situation? _____

11. Has your anxiety stopped you from functioning or performing well at work/school, daily routines, and having friendships and relationships? ______

12. Do you cry easily from anxiety? ____

13. Have you ever gotten sick because of anxiety? _____

​

24
User Profile: ShyPisces390
ShyPisces390 December 30th, 2015

Name: Dina Gender: Female

Survey: Social Anxiety

1. For you, what is Social Anxiety? The fear of being in any social situation or a mental disorder that causes a person physical, mental, and emotional panic when in any social situation.

2. What do you mostly feel and think when youre in any social situation? Describe 3.

I can't think or talk because my thought process is too fast and I feel like all eyes are on me and everyone is thinking horrible things about me.

3. How will your body react when youre feeling stress, anxious, uneasy in a social situation? List 5 physical symptoms you always experience.

4. Out of the several social situations listed, choose 6 that always cause you the highest level of stress, anxiety, and, unease:

a. Speaking in public or in front of/to other people <<

b. Being criticized/teased/judged/watched <<

c. Making new friends <<

d. Attending a social event like party <<

e. Starting and continuing a conversation with person <<

f. Being reprimanded/scolded for doing something wrong

g. Making a mistake in front of other people <<

h. Talking to or greeting someone only to be ignored

i. Talking to a person whos superior or is in authority

j. Eye contact with other people

k. Telling someone he or she hurt your feelings or annoyed you

The following questions will be answered with Yes or No answers. Please answer them honestly.

5. Do you make irrational and negative scenarios of you in a social event ahead of time? __yes_____

6. Are you constantly afraid of making a mistake and being judged by others? __yes____

7. Are you afraid of meeting new people and being in an unfamiliar situation? __yes___

8. Does your fear of embarrassment kept you from doing things you always want to do? And speaking to other people? _yes____

9. Do you avoid social situations at all cost? ___no__

10. Have you ever had an anxiety or panic attack resulted from your anxiety about a social situation? __yes___

11. Has your anxiety stopped you from functioning or performing well at work/school, daily routines, and having friendships and relationships? __yes____

12. Do you cry easily from anxiety? __yes__

13. Have you ever gotten sick because of anxiety? ___no__

​