also included space to record your own hierarchies. 
Sample Symptom Exposure Hierarchy for Practices in Nonsocial Situations
Exercise Fear Rating  
(0–100)
1. Hyperventilate at home alone (1 minute). 60
2. Breathe through a straw at home alone (2 minutes). 45
3. Spin in a chair at home alone (1 minute). 35
4. Shake head from side to side at home alone (30 seconds). 30