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Below is a list of statements dealing with your general feelings about yourself. Please indicate how much you agree/disagree with each statement.

I worry about what other people will think of me even when I know it does not make any difference.
Strongly Disagree   1   2   3   4   5   6   7Strongly Agree

I am unconcerned even if I know people are forming an unfavorable impression of me.
Strongly Disagree   1   2   3   4   5   6   7Strongly Agree

I am frequently afraid of other people noticing my shortcomings.
Strongly Disagree   1   2   3   4   5   6   7Strongly Agree

I rarely worry about what kind of impression I am making on someone.
Strongly Disagree   1   2   3   4   5   6   7Strongly Agree

I am afraid that others will not approve of me.
Strongly Disagree   1   2   3   4   5   6   7Strongly Agree

Other people’s opinions of me do not bother me.
Strongly Disagree   1   2   3   4   5   6   7Strongly Agree

When I am talking to someone, I worry about what they may be thinking about me.
Strongly Disagree   1   2   3   4   5   6   7Strongly Agree

I am usually worried about what kind of impression I make.
Strongly Disagree   1   2   3   4   5   6   7Strongly Agree

If I know someone is judging me, it has little effect on me.
Strongly Disagree   1   2   3   4   5   6   7Strongly Agree

Sometimes I think I am too concerned with what other people think of me.
Strongly Disagree   1   2   3   4   5   6   7Strongly Agree

I often worry that I will say or do the wrong things.
Strongly Disagree   1   2   3   4   5   6   7Strongly Agree

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