SRC - Fear of Spiders Questionnaire


	Fear of Spiders Questionnaire
	By providing your information and answering the questions, you are consenting to your information being added to a potential participant database, where you may be contacted about future research studies for which you may qualify. If you change your mind and no longer wish to be contacted about studies occurring at the WRAIR Sleep Research Center, you can call 301.319.9287 and speak with someone or send an email to usarmy.detrick.medcom-wrair.mbx.sleep-research-center@health.mil. Your information will then be removed from the participant database.

ENTER YOUR NAME*

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Middle

Last

Are you between the ages of 18-40?*

Do you live within a 20-mile radius from our lab, which is in Silver Spring MD?

Are you afraid of spiders?

Instructions to Prescreener: This questionnaire is about thoughts, feelings, and behaviors regarding spiders.

Please read each statement and choose your answers on a 7-point scale anchored by “not at all” to “very much” in the green box.

1. If I came across a spider now, I would get help from someone else to remove it.

2. Currently, I am sometimes on the look out for spiders.

3. If I saw a spider now, I would think it will harm me.

4. I now think a lot about spiders.

5. I would be somewhat afraid to enter a room now, where I have seen a spider before.

6. I now would do anything to try to avoid a spider.

7. Currently, I sometimes think about getting bit by a spider.

8. If I encountered a spider now, I wouldn't be able to deal effectively with it.

9. If I encountered a spider now, it would take a long time to get it out of my mind.

10. If I came across a spider now, I would leave the room.

11. If I saw a spider now, I would think it will try to jump on me.

12. If I saw a spider now, I would ask someone else to kill it.

13. If I encountered a spider now, I would have images of it trying to get me.

14. If I saw a spider now I would be afraid of it.

15. If I saw a spider now, I would feel very panicky.

16. Spiders are one of my worst fears.

17. I would feel very nervous if I saw a spider now.

18. If I saw a spider now I would probably break out in a sweat and my heart would beat faster.

301-319-9287

503 Robert Grant Avenue
Silver Spring, MD 20910

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