Form: Liebowitz Social Anxiety Scale, LSAS

1. Fear or Anxiety
Telephoning in public
0 : None
1 : Mild
2 : Moderate
3 : Severe
2. Avoidance
Telephoning in public
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
3. Fear or Anxiety
Participating in small groups
0 : None
1 : Mild
2 : Moderate
3 : Severe
4. Avoidance
Participating in small groups
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
5. Fear or Anxiety
Eating in public places
0 : None
1 : Mild
2 : Moderate
3 : Severe
6. Avoidance
Eating in public places
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
7. Fear or Anxiety
Drinking with others in public places
0 : None
1 : Mild
2 : Moderate
3 : Severe
8. Avoidance
Drinking with others in public places
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
9. Fear or Anxiety
Talking to people in authority
0 : None
1 : Mild
2 : Moderate
3 : Severe
10. Avoidance
Talking to people in authority
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
11. Fear or Anxiety
Acting, performing or giving a talk in front of audience
0 : None
1 : Mild
2 : Moderate
3 : Severe
12. Avoidance
Acting, performing or giving a talk in front of audience
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
13. Fear or Anxiety
Going to a party
0 : None
1 : Mild
2 : Moderate
3 : Severe
14. Avoidance
Going to a party
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
15. Fear or Anxiety
Working while being observed
0 : None
1 : Mild
2 : Moderate
3 : Severe
16. Avoidance
Working while being observed
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
17. Fear or Anxiety
Writing while being observed
0 : None
1 : Mild
2 : Moderate
3 : Severe
18. Avoidance
Writing while being observed
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
19. Fear or Anxiety
Calling someone you don't know very well
0 : None
1 : Mild
2 : Moderate
3 : Severe
20. Avoidance
Calling someone you don't know very well
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
21. Fear or Anxiety
Talking with people you don't know very well
0 : None
1 : Mild
2 : Moderate
3 : Severe
22. Avoidance
Talking with people you don't know very well
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
23. Fear or Anxiety
Meeting strangers
0 : None
1 : Mild
2 : Moderate
3 : Severe
24. Avoidance
Meeting strangers
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
25. Fear or Anxiety
Urinating in a public bathroom
0 : None
1 : Mild
2 : Moderate
3 : Severe
26. Avoidance
Urinating in a public bathroom
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
27. Fear or Anxiety
Entering a room when others are already seated
0 : None
1 : Mild
2 : Moderate
3 : Severe
28. Avoidance
Entering a room when others are already seated
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
29. Fear or Anxiety
Being the centre of attention
0 : None
1 : Mild
2 : Moderate
3 : Severe
30. Avoidance
Being the centre of attention
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
31. Fear or Anxiety
Speaking up at a meeting
0 : None
1 : Mild
2 : Moderate
3 : Severe
32. Avoidance
Speaking up at a meeting
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
33. Fear or Anxiety
Taking a test
0 : None
1 : Mild
2 : Moderate
3 : Severe
34. Avoidance
Taking a test
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
35. Fear or Anxiety
Expressing a disagreement or disapproval to people you don't know very well
0 : None
1 : Mild
2 : Moderate
3 : Severe
36. Avoidance
Expressing a disagreement or disapproval to people you don't know very well
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
37. Fear or Anxiety
Looking at people you don't know very well in the eyes
0 : None
1 : Mild
2 : Moderate
3 : Severe
38. Avoidance
Looking at people you don't know very well in the eyes
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
39. Fear or Anxiety
Giving a report to a group
0 : None
1 : Mild
2 : Moderate
3 : Severe
40. Avoidance
Giving a report to a group
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
41. Fear or Anxiety
Trying to pick up someone
0 : None
1 : Mild
2 : Moderate
3 : Severe
42. Avoidance
Trying to pick up someone
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
43. Fear or Anxiety
Returning goods to a store
0 : None
1 : Mild
2 : Moderate
3 : Severe
44. Avoidance
Returning goods to a store
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
45. Fear or Anxiety
Giving a party
0 : None
1 : Mild
2 : Moderate
3 : Severe
46. Avoidance
Giving a party
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)
47. Fear or Anxiety
Resisting a high pressure salesperson
0 : None
1 : Mild
2 : Moderate
3 : Severe
48. Avoidance
Resisting a high pressure salesperson
0 : Never (0%)
1 : Occasionally (1-33%)
2 : Often (33-67%)
3 : Usually (67-100%)

The presented answer sheet is not an original form and is not intended for printing or use as a handout.