Please take into account the following points before starting
There will be several questions with increasing difficulty.
There is only one correct answer for each question.
You only have a few minutes to complete the test.
You can skip questions and answer them later.
Unanswered questions will count as errors.
How often do you feel anxious or fearful in crowded places?
Often
Sometimes
Rarely
1/15
Do you avoid going to certain places or situations?
Yes, always
Yes, sometimes
No
2/15
How do you feel when you think about leaving your home?
Anxious
Calm
Indifferent
3/15
Do you experience physical symptoms like a racing heart or sweating in public places?
Yes
No
Rarely
4/15
How do you cope with anxiety in social situations?
Avoid them
Use coping mechanisms
Seek help
5/15
Do you rely on a companion when going out?
Always
Sometimes
Never
6/15
How do you feel when you are separated from a safe place or person?
Panicked
Calm
Slightly anxious
7/15
Do you worry about embarrassing yourself in public?
Yes
No
Rarely
8/15
How do you rate your overall fear of leaving home?
High
Moderate
Low
9/15
Do you avoid using public transportation?
Yes
Sometimes
No
10/15
How do you feel about being in enclosed spaces?
Claustrophobic
Comfortable
Indifferent
11/15
Do you experience panic attacks in certain situations?
Yes
No
Rarely
12/15
How does your agoraphobia impact your daily life?
Significantly
Moderately
Not at all
13/15
Have you sought professional help for your agoraphobia?
Yes
No
Considering it
14/15
Do you believe your agoraphobia is improving or worsening?
Worsening
Staying the same
Improving
15/15
Are you sure you want to finish the test?"
Close
Confirm
