Anxiety Triggers
Name
First Name
Last Name
Rate on a scale of 1-10 how anxious each of these situations make you feel
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10
Conflict or drama in my family
Conflict or drama in my friendships
Conflict or drama in my relationships
Being in a large group of people
Meeting someone new
Having to confront someone
Trying to make others happy
Having too much to get done
Making plans with other people
Being away from family members
Performing or presenting in front of others
Having too much time to think
Not knowing what will happen in the future
Stress from schoolwork or your job
Going anywhere or doing things by myself
Loud noises
Raised voices
Being around certain people
Being in tight spaces
Being in wide open spaces
Getting criticized for something I did wrong
Having to make small talk
Being unprepared
Being late to an event
Personal Notes: (include any thoughts you might have here)
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