Social Anxiety Support Survey

I’ve come up with an idea to create a Social Anxiety related survey; the results of which I’d like to turn into a motivational (I hope it will be motivational for all of us :-) ) infographic wallpaper.

I’d be delighted if you could spare five minutes to take the survey – it’s fairly short with just 16 questions – and you only need to choose between the suggested answers. In all honesty, this is my first survey ever created so I do hope you enjoy answering the questions. 

Before you begin, please remember that the survey is totally anonymous. Answers to any of the questions are also optional.  If you don’t feel like replying to a question… skip it! The purpose of the survey is to assist people – like you and me – who struggle with depression and social anxiety to be better understood by one another and society. The survey’s results will be made into an infographic wallpaper. 

Welcome!

This Form cannot be submitted until the missing fields (labelled below in red) have been filled in
Social Anxiety Support Survey
1. You are:	Male Female
2. Your age is:
3. In what life period do you think you felt that you don’t fit in/get along with other people; ie, that you were socially awkward?	Child (Kindergarten, Elementary school) Teenager (Middle school, High school) Young adulthood (college, university, work) Adulthood (25+)
4. Would you prefer other people to approach you and establish communication or do you like initiating conversations?	Yes, I’d prefer other person approach me No, I like initiating conversation and overall communication by myself
5. Would you prefer to date a person who has similar social anxiety issues as you or an average person who has never experienced the issue?	Yes, I would like to date a person who struggles with the same problems as me, because we would understand each other and can provide support during the tough times. Average person! I think if I date an average person, he/she will distract me from my inner anxious thoughts. I can lean on that kind of person.
6. Do you take a pity of people when you see them going to cinema or café alone?	Yes, I think they feel awful when everyone has a partner and they are dining alone. No. Well, sometimes I have a hunch that they may feel awkward; but, I think they are brave to go out alone.
7. Let’s assume a situation: you’re sitting on a bench in a park, reading newspaper. Someone walks up to you and tries to initiate a random conversation with no purpose - just to have a small talk with someone. You haven’t expected it to happen… so you reject that person by saying you’re busy or simply by replying to the other’s person questions with short cold phrases. Later, when you feel secure (being in your comfort zone), would you regret that you were not friendlier with them and maybe make friends with him/her?	Yes, I wish I would not have turned that person down. I even feel a little bit guilty about it – perhaps that person tried to make friends with me and had a hard time overcoming his/her fears and insecurities to approach me. No, I don’t feel bad about it.
8. If you come to a party with a poker face, does it mean you don’t want socialize or is it just a mask?	It’s a mask. Honestly, I would love to communicate with others. Perhaps, I just feel a little bit insecure. No, I really do not like to go to parties and socialize with people there.
9. Do you expect failing (e.g. in making new friends, establishing some romantic relationship) when you go out?	Yes, I’m pessimistic about it No, I’m looking forward to another chance to establish new connections
10. When you haven’t talked to/seen an old friend for quite some time and you start to wonder why he/she doesn’t call you, what is the pattern of your thoughts?	I guess my friend forgot about me or is not interested in keeping in touch with me, so why should I? If he/she doesn’t call, then I won’t call/write to my friend either. I call/message my old acquaintances from time to time, even if they do not do it first… just to keep in touch.
11. If you’re an introvert and/or social anxious, do you need to be around people from time to time?	Yes, I need to communicate with people anyway. It’s vital for me. No, I can spend my whole life alone.
12. Does it feel good to you when the important people thank you for something or say that they missed you?	Yes, I appreciate it very much. It’s at these moments that my self-esteem rises because I feel valuable. No, it almost does not change my emotional condition.
13. If you suffer from Social Anxiety/Depression, have you gone through therapy to address it? Which helped you most?	Talk to someone (counselor, mentor, friend) Medicine (anti-depressant pills, social anxiety tablets) All together None of it helped so far I haven’t taken any therapy I do not suffer from SA/depression
14. If you’re sitting next to someone in a public transport (like bus, train, plane or ferry) while taking a long trip, would you to talk to that person? Does being silent feel awkward to you?	Yes, I’d feel much easier if we’d have a small chat. No, I’m feeling totally OK.
15. If you put your headphones on while sitting in some public place or taking a walk down the street, does this mean you are not open for any conversation?	Yes, I indicate to other people that I want to have my own time; Sometimes yes, but mostly no. I just listen to music for my own enjoyment, and I do not mind any incoming communication from other people.
16. Please, leave your short (or long – as you prefer) message (advice, words of encouragement, etc.) to other members of Social Anxiety Support community in the field below:
Please enter the word that you see below.