Double Board Certified Counseling Services
Mark Zauss, LMHC, LPC, CCMHC, NBCC, BC-TMC, ADHD-CCSP, C-DBT, CCTP

Session Change (Social Anxiety) – Self-Rating

Please rate how things are **today** compared with **before you began treatment**. Scale runs from 1 (**much less**) to 7 (**much more**); 4 = **no change**.

Client Info

Ratings (1–7)

1) Anxiety in social/performance situations
How anxious do you become in anticipation of, or during, social/performance situations?
2) Avoidance of social/performance situations
How much do you avoid being the center of attention or talking with people?
3) Fear of embarrassment or negative evaluation
How concerned are you about saying/doing something embarrassing or being judged?
4) Interference with life
How much does this anxiety interfere with work/school or social activities?
Notes: Scores < 4 suggest improvement (“less” than before); scores > 4 suggest worsening (“more” than before); 4 = no change. Educational tool, not a diagnosis.
Source note: structure inspired by the Social Anxiety Session Change Index (SASCI). :contentReference[oaicite:1]{index=1}