Social anxiety questionnaire printable
[DOC File]Autism Behavior Checklist - LCSC
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Frequently does not attend to social/environmental stimuli. Has no social smile. Does not reach out when reached for. Not responsive to other people’s facial expressions/feelings. Actively avoids eye contact. Resists being touched or held. Is flaccid when held in arms. Is stiff and hard to held. Does not imitate other children at play
[DOC File]GAD-Q-IV - Anxiety and Depression Association of America
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Generalized Anxiety Disorder (GAD) Screening Tool This is a screening measure to help you determine whether you might have Generalized Anxiety Disorder (GAD) that needs professional attention. This screening tool is not designed to make a diagnosis of GAD but to be shared with your primary care physician or mental health professional to inform ...
[DOC File]CLIENT INTAKE FORM - East Lyme Psych
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HEALTH AND SOCIAL INFORMATION. Do you currently have a primary physician? ... Extreme depressed mood Yes / No Dramatic mood swings Yes / No Rapid speech Yes / No Extreme anxiety Yes / No Panic attacks Yes / No Phobias Yes / No Sleep disturbances Yes / No Hallucinations Yes / No Unexplained losses of time Yes / No Unexplained memory lapses Yes ...
[DOC File]Revised Adult Attachment Scale (Collins, 1996)
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The three subscales are CLOSE, DEPEND, and ANXIETY. The CLOSE scale measures the extent to which a person is comfortable with closeness and intimacy. The DEPEND scale measures the extent to which a person feels he/she can depend on others to be available when needed. ... Journal of Personality and Social Psychology, 67, 430-445. Hesse, E. (1999 ...
[DOC File]ATTITUDE QUESTIONNAIRE
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TEST TAKING ATTITUDE QUESTIONNAIRE. DIRECTIONS: Answer the following questions as truthfully as possible. Blacken out the T if the statement is generally true for you; F if the statement is generally false. 1. While taking an important exam, I perspire a great deal. T F 2. I get to feel very panicky when I have to take a surprise exam. T F 3.
[DOC File]CHILDREN’S ANXIETY RATING SCALE (CARS)
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Overview: The Pediatric Anxiety Rating Scale (PARS) is to be used to rate the severity of anxiety in children and adolescents, ages 6 to 17 years. The PARS has two sections: the symptom checklist and the severity items. The symptom checklist is used to determine the child’s repertoire of symptoms during the past week. ... SOCIAL INTERACTIONS ...
[DOC File]OUTCOME MEASURES TOOL KIT - Veterans Affairs
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The STAI is a 40-item self-report inventory of state anxiety (current anxiety) and trait anxiety (propensity to experience anxiety). There is a high concordance between pain and anxiety (Polatin, Kinney, Gatchel, Lillo, & Mayer, 1993), and the STAI is widely used as a pain outcomes measure.
[DOCX File]Sample of Person-Centered Care Plans for Activity, Nursing ...
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Social Isolation. Diminished Vision. INDEX. Sample of Person-Centered Care Plans for Activity, Nursing and Social Work Departments. Sample Activities Person-Centered Care Plan. Self-Directed Activities. Participant prefers to engage in self-directed, activities rather than engaging in organized group activities. As evidenced by:
[DOC File]Borderline Personality Questionnaire (BPQ)
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T F My mood frequently alternates throughout the day between happiness, anger, anxiety and depression. T F When my friends leave, I am confident I will see them again. T F My friends often ...
[DOC File]Gilliam Asperger’s Disorder Scale (GADS)
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The Autism Spectrum Structured Interview is a non standardized measure developed by Kari Dunn Buron to help understand the students' understanding of the social world. The questionnaire includes eighteen questions regarding social understanding. The following information was obtained during this interview conducted by XXXX, a XXXX for XXXX.
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