The Behaviours Questionnaire - the first section of the behaviour scale identifies safety-seeking behaviours frequently reported by panic patients. It is scored as a total with “never” scoring 0‚ “sometimes” 1‚ “often” 2‚ “always” 3. As a clinically used instrument the clinician may wish to look at individual items to identify those safety-seeking behaviours engaged in by a patient. It can be totalled across this section.
The second part of this scale incorporates parts of the Marks & Matthews scale but is scaled on a 0 – 3 basis. Blood injury subscale is obtained by totalling item 5‚ item 7‚ item 13‚ item 16 and item 19. The social phobia scale is obtained by totalling items 6‚ 10‚ 12‚ 14 and 17. The agoraphobia items are number 8‚ 9‚ 11‚ 15 and 18. Items 1‚ 2‚ 3‚ 4‚ 20 and 21 form a miscellaneous subscale.
When you are at your most anxious or panicky‚ how often do you do the following things:
|
1. Try to think about other things
|
never
|
sometimes
|
often
|
always
|
|
2. Hold on to or lean on to something
|
always
|
often
|
sometimes
|
never
|
|
3. Hold on to or lean on someone
|
never
|
sometimes
|
often
|
always
|
|
4. Sit down
|
always
|
often
|
sometimes
|
never
|
|
5. Keep still
|
always
|
often
|
sometimes
|
never
|
|
6. Move very slowly
|
never
|
sometimes
|
often
|
always
|
|
7. Look for an escape route
|
never
|
sometimes
|
often
|
always
|
|
8. Make yourself do more physical exercise
|
always
|
often
|
sometimes
|
never
|
|
9. Focus attention on your body
|
always
|
often
|
sometimes
|
never
|
|
10. Try to keep control of your mind
|
never
|
sometimes
|
often
|
always
|
|
11. Try to keep tight control over behavior
|
always
|
often
|
sometimes
|
never
|
|
12. Talk more
|
never
|
sometimes
|
often
|
always
|
|
13. Take medication
|
never
|
sometimes
|
often
|
always
|
|
14. Ask people around for help
|
never
|
sometimes
|
often
|
always
|
|
15. Change your breathing
|
always
|
often
|
sometimes
|
never
|
Please circle the word which best describes how often you AVOID the situations listed below because of anxiety. Circle the word which best describes the extent to which your anxiety PREVENTS you from actually doing or coming into contact with these things.
|
1. Talking
|
always
|
often
|
sometimes
|
never
|
|
2. Being with people
|
never
|
sometimes
|
often
|
always
|
|
3. Sex
|
always
|
often
|
sometimes
|
never
|
|
4. Drinking alcohol
|
always
|
often
|
sometimes
|
never
|
|
5. Injections or minor surgery
|
never
|
sometimes
|
often
|
always
|
|
6. Eating or drinking with other people
|
always
|
often
|
sometimes
|
never
|
|
7. Hospitals
|
never
|
sometimes
|
often
|
always
|
|
8. Traveling alone by bus or coach
|
never
|
sometimes
|
often
|
always
|
|
9. Walking alone in busy streets
|
never
|
sometimes
|
often
|
always
|
|
10. Being watched or started at
|
always
|
often
|
sometimes
|
never
|
|
11. Going into crowded shops
|
always
|
often
|
sometimes
|
never
|
|
12. Talking to people in authority
|
never
|
sometimes
|
often
|
always
|
|
13. Sight of blood
|
always
|
often
|
sometimes
|
never
|
|
14. Being criticised
|
never
|
sometimes
|
often
|
always
|
|
15. Going alone far from home
|
never
|
sometimes
|
often
|
always
|
|
16. Thought of injury of illness
|
always
|
often
|
sometimes
|
never
|
|
17. Speaking or acting to an audience
|
always
|
often
|
sometimes
|
never
|
|
18. Large open spaces
|
never
|
sometimes
|
often
|
always
|
|
19. Going to the dentist
|
always
|
often
|
sometimes
|
never
|
|
20. Exercise
|
always
|
often
|
sometimes
|
never
|
|
21. Drinking coffee
|
never
|
sometimes
|
often
|
always
|
سایت روان سنجی : آزمون زیر از کینگ کالج لندن و از نشانی زیر گرفته شده است.
http://psychology.iop.kcl.ac.uk/cadat/questionnaires/Behaviours_questionnaire.pdf