The Shyness & Social Anxiety Workbook
46Effect on Your Discomfort Scale
0 10 20 30 40 50 60 70 80 90 100
No 
EffectSmall  
EffectModerate  
EffectLarge  
EffectVery  
Large  
Effect
Your Anxiety Variables
Aspects of the Other Person and their Effect on Your Discomfort
Effect 
on Your 
DiscomfortItem
 Age (whether the other person is older, younger, or the same age as 
you)
 Sex of the other person (same sex, opposite sex)
 Relationship status of the other person (married, dating someone, 
single)
 Physical attractiveness of the other person
 Nationality or ethnic background of the other person
 How conﬁdent the other person seems
 How aggressive or pushy the other person seems
 How interesting the other person appears to be
 Whether the person appears to have a good sense of humor
 How ﬁnancially successful the other person seems to be
 How well dressed the other person appears to be
 Other (specify)                  
 Other (specify)