Mobility Inventory for Agoraphobia

Date: 23/6/2024

1. Theatres
Accompanied: 5: Always avoid
Alone: 5: Always avoid

2. Supermarkets
Accompanied: 1: Never avoid
Alone: 1: Never avoid

3. Shopping malls
Accompanied: 3: Avoid about half the time
Alone: 3: Avoid about half the time

4. Classrooms
Accompanied: 1: Never avoid
Alone: 2: Avoid occasionally

5. Department stores
Accompanied: 1: Never avoid
Alone: 1: Never avoid

6. Restaurants
Accompanied: 1: Never avoid
Alone: 4: Avoid most of the time

7. Museums
Accompanied: 1: Never avoid
Alone: 4: Avoid most of the time

8. Elevators/lifts
Accompanied: 1: Never avoid
Alone: 4: Avoid most of the time

9. Auditoriums/stadiums
Accompanied: 2: Avoid occasionally
Alone: 4: Avoid most of the time

10. Garages
Accompanied: 1: Never avoid
Alone: 4: Avoid most of the time

11. High places

Accompanied: 2: Avoid occasionally
Alone: 5: Always avoid

12. Enclosed places

Accompanied: 4: Avoid most of the time
Alone: 5: Always avoid
13. Outside (for example: fields, wide streets, courtyards)
Accompanied: 1: Never avoid
Alone: 3: Avoid about half the time

14. Inside (for example, large rooms, lobbies)

Accompanied: 1: Never avoid
Alone: 3: Avoid about half the time

15. Buses
Accompanied: 1: Never avoid
Alone: 1: Never avoid

16. Trains
Accompanied: 1: Never avoid
Alone: 1: Never avoid

17. Subways/underground/metro
Accompanied: 1: Never avoid
Alone: 4: Avoid most of the time

18. Aeroplanes
Accompanied: 1: Never avoid
Alone: 4: Avoid most of the time

19. Boats
Accompanied: 1: Never avoid
Alone: 5: Always avoid

20. At any time

Accompanied: 1: Never avoid
Alone: 3: Avoid about half the time

21. On motorways/dual carriageways/expressways

Accompanied: 1: Never avoid
Alone: 3: Avoid about half the time

22. Standing in lines/queues

Accompanied: 2: Avoid occasionally
Alone: 2: Avoid occasionally

23. Crossing bridges

Accompanied: 2: Avoid occasionally
Alone: 4: Avoid most of the time

24. Parties or social gatherings

Accompanied: 4: Avoid most of the time
Alone: 5: Always avoid

25. Walking on the street

Accompanied: 1: Never avoid
Alone: 2: Avoid occasionally
26. Staying home alone
Accompanied: N/A
Alone: 1: Never avoid

27. Being far away from home

Accompanied: 3: Avoid about half the time
Alone: 5: Always avoid

28. Other :
Accompanied: N/A
Alone: N/A

Total Avoidance Accompanied = 1.69

Total Avoidance Alone = 3.26

Thank you for using Online CBT Resources

www.onlinecbtresources.co.uk