The Shyness & Social Anxiety Workbook
196Symptom Induction Testing Form
Instructions : After trying each symptom exposure exercise, (1) record the physical sen -
sations that were experienced and (2) rate the intensity of fear experienced using a scale 
of 0 (no fear) to 100 (maximum fear).
Exercise Sensations Experienced Fear (0–100)
Shake head from side to side  
(30 sec.)  
Spin around in a swivel chair  
(60 sec.)  
Hyperventilate (shallow breathing at 
a rate of about 100–120 breaths per 
min.; 60 sec.)
Breathe through a small, narrow 
straw (plug your nose if  
necessary; 2 min.)
Tense all the muscles in the body (60 
sec. or as long as possible)  
Carry heavy weights or bags  
(60 sec. or as long as possible)  
Run on the spot or run up and down 
stairs (60 sec.)  
Sit in a hot, stuffy space (for 
example, a sauna, hot car, or small 
room with a space heater; 5 to 10 
min.) or wear overly warm clothing
Have a hot drink or hot soup  
 
Other Exercise
Other Exercise