Hi guys! I'm new to this forum and everything! I was wondering if you can help me in filling this in! It's for my project where I'm making mix media on expressing social anxiety and people who has it! This will help my mix media to be more relatable, authentic, and accurate! It would mean a lot to me! thank you
Name: /Anonymous Gender: F/M
Survey: Social Anxiety
1. For you, what is Social Anxiety?
2. What do you mostly feel and think when you’re in any social situation? Describe 3.
3. How will your body react when you’re 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 who’s 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 keep 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? _____