Fear Questionnaire



The items in this questionnaire refer to things that may cause fear or other unpleasant feelings. Write the number of each item in the column that describes how much you are disturbed by it nowadays.

Fear

Not at All

A Little

A Fair Amount

Much

Very Much

1. Noise of vacuum cleaners
2. Open Wounds
3. Being alone
4. Being in a strange place
5. Loud voices
6. Dead people
7. Speaking in public
8. Crossing streets
9. People who seem insane
10. Falling
11. Automobiles
12. Being teased
13. Dentists
14. Thunder
15. Sirens
16. Failure
17. Entering a room where other people are already seated
18. High places on land
19. Looking down from high buildings
20. Worms
21. Imaginary creatures
22. Strangers
23. Receiving injection
24. Bats
25. Journeys by train
26. Journeys by bus
27. Journeys by car
28. Feeling angry
29. People in authority
30. Flying insects
31. Seeing other people injected
32. Sudden noises
33. Dull weather
34. Crowds
35. Large open spaces
36. Cats
37. One person bullying another
38. Tough looking people
39. Birds
40. Sight of deep water
41. Being watched working
42. Dead animals
43. Weapons
44. Dirt
45. Crawling insects
46. Sight of fighting
47. Ugly people
48. Fire
49. Sick people
50. Dogs
51. Being criticized
52. Strange shapes
53. Being in an elevator
54. Witnessing surgical operations
55. Angry people
56. Mice
57. Blood

A -- Human

B -- Animal

58. Parting from friends
59. Enclosed places
60. Prospect of a surgical operation
61. Feeling rejected by others
62. Airplanes
63. Medical odors
64. Feeling disapproved of
65. Harmless snakes
66. Cemeteries
67. Being ignored
68. Darkness
69. Premature heart beats (missing a beat)
70.

A-Nude men

B-Nude women

71. Lightning
72. Doctors
73. People with deformities
74. Making mistakes
75. Looking foolish
76. Losing control
77. Fainting
78. Becoming nauseous
79. Spiders
80. Being in charge or responsible for decisions.
81. Sight of knives or sharp objects
82. Becoming mentally ill
83. Being with a member of the opposite sex
84. Taking written tests
85. Being touched by others
86. Feeling different from others
87. A lull in conversation


Adapted from Wolpe, J. (1967). The practice of behavior therapy. New York: Pergamon