• Social Anxiety Screening Tool

  • This is a screening measure to help you determine whether you might have social anxiety that needs professional attention. This screening tool is not designed to make a diagnosis of social anxiety but to be shared with Summit Behavioral Health mental health professional to inform further conversations about diagnosis and treatment.

  • INSTRUCTIONS

    1) Fill and submit shown form

    2) Choose if you want to be contacted by Summit BHP staff

    3) Select date/time for brief virtual meeting

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    Pick a Date
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  • During the past six months, have you often been bothered by any of the following symptoms? Check the score to each symptom that you have had more days than not:

  • If you answered Yes to the question above, please fill following section. We offer new patient appointments onsite and online within 1-3 days of submitting a request.

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  • Summit Behavioral Health

    2115 County Road D East, Suite C-100, Maplewood, MN 55109

    Ph: 651-358-7020                           www.SummitBHP.com

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