Use Exit button to go back Print this
Liebowitz Social Anxiety Scale Liebowitz MR. Social Phobia. Mod Probl Pharmacopsychiatry 1987;22:141-173
Pt Name: Shehani Rajapaksha Pt ID #:
Date: 15/12/2024 Clinic #: Assessment point:
Fear or Anxiety: Avoidance:
0 = None 0 = Never (0%)
1 = Mild 1 = Occasionally (1—33%)
2 = Moderate 2 = Often (33—67%)
3 = Severe 3 = Usually (67—100%)
Fear or Avoidance
Anxiety
1. Telephoning in public. (P) 2 1 1.
2. Participating in small groups. (P) 1 1 2.
3. Eating in public places. (P) 3 3 3.
4. Drinking with others in public places. (P) 4.
5. Talking to people in authority. (S) 2 1 5.
6. Acting, performing or giving a talk in front of an audience. (P) 3 3 6.
7. Going to a party. (S) 1 3 7.
8. Working while being observed. (P) 3 3 8.
9. Writing while being observed. (P) 3 3 9.
10. Calling someone you don’t know very well. (S) 2 1 10.
11. Talking with people you don’t know very well. (S) 2 1 11.
12. Meeting strangers. (S) 2 3 12.
13. Urinating in a public bathroom. (P) 0 3 13.
14. Entering a room when others are already seated. (P) 3 3 14.
15. Being the center of attention. (S) 3 3 15.
16. Speaking up at a meeting. (P) 3 1 16.
17. Taking a test. (P) 3 0 17.
18. Expressing a disagreement or disapproval to people you don’t 18.
3 3
know very well. (S)
19. Looking at people you don’t know very well in the eyes. (S) 3 3 19.
20. Giving a report to a group. (P) 1 0 20.
21. Trying to pick up someone. (P) 0 0 21.
22. Returning goods to a store. (S) 3 3 22.
23. Giving a party. (S) 3 3 23.
24. Resisting a high pressure salesperson. (S) 24.
