Survey on Social Anxiety (for important project and a cause)

Name: Cali Gender: F

Survey: Social Anxiety

1. For you, what is Social Anxiety? Difficulty having normal day to day social interactions, extreme discomfort in social situations, overwhelming feelings of self awareness during socializing, nonstop worrying about embarassing myself/ being judged by others.

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

1. As stated above, I tend to feel very self aware. I feel like each of my flaws are extremely visible.

2. Feeling like all eyes are on me. Even though I know most people don't even notice me, my brain tells me that everyone is judging me.

3. Discomfort. I can't wait to leave the social sitatuation as fast as possible.

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

1. Terrible stomachache and pain in the pit of my stomach.

2. Migraine.

3. Loss of appetite.

4. Trouble falling asleep or saying asleep.

5. Nervous habit like touching my hair or fixing my clothes.

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? 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? Yes

Name: Cali Gender: F

Survey: Social Anxiety

1. For you, what is Social Anxiety?

The extreme fear of negative evaluation and judgment that impairs the functioning of everyday life and thus is a limiting illness.

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

1. Like I am being watched from the places I cannot see and therefore silently judged.

2. I feel frozen, yet all I want to do is run for the door.

3. I feel like I am out of my depth and I don't know what is expected of me, what I am supposed to do/say.

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

1. Clamminess and shaking

2. Teary

3. Terrible stomach cramps and sickness

4. Feeling of insufficient lung capacity

5. Rapid heart rate and chest pain

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

d. Attending a social event like party

f. Being reprimanded/scolded for doing something wrong

g. Making a mistake in front of other people

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? Yes

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? Yes