Instructions: The following questions ask about thoughts, feelings, and behaviors you may have had in the following situations: crowds, public places, using transportation (e.g., buses, planes, trains), traveling alone, or away from home.
felt moments of sudden terror, fear, or fright in these situations
felt anxious, worried, or nervous about these situations
had thoughts about panic attacks, uncomfortable physical sensations, getting lost, or being overcome with fear in these situations
felt a racing heart, sweaty, trouble breathing, faint, or shaky in these situations
felt tense muscles, felt on edge or restless, or had trouble relaxing in these situations
avoided, or did not approach or enter, these situations
moved away from these situations, left them early, or remained close to the exits
spent a lot of time preparing for, or procrastinating about (putting off), these situations
distracted myself to avoid thinking about these situations
needed help to cope with these situations (e.g., alcohol or medication, superstitious objects, other people)