Claustrophobia Test, CLQ - the question form
Questions: 26 · 5 minutes
1. Swimming while wearing a nose clip.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Mild anxiety
5 – No anxiety
2. Working under a sink for 15 minutes.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
3. Standing in an elevator with the doors closed on the first floor.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
4. Trying to steady your breathing during intense exercise.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Mild anxiety
5 – No anxiety
5. Having difficulty breathing through your nose due to a severe cold.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
6. Swimming with a mask and snorkel in a safe training pool for 15 minutes.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Mild anxiety
5 – No anxiety
7. Wearing an oxygen mask
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Mild anxiety
5 – No anxiety
8. Lying in the lower bunk of a bunk bed.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Mild anxiety
5 – No anxiety
9. Standing in the middle of the third row in a crowded concert hall, knowing you would not be able to leave until it ends.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Mild anxiety
5 – No anxiety
10. Sitting in the middle of a completely full row in a movie theater.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Mild anxiety
5 – No anxiety
11. Working under a car for 15 minutes.
1 – Extreme anxiety
2 – Strong anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
12. Being at the farthest point from the exit during a tour of an underground mine.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Mild anxiety
5 – No anxiety
13. Lying in a sauna for 15 minutes.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Mild anxiety
5 – No anxiety
14. Waiting for 15 minutes in an airplane that has not yet taken off, with the doors closed.
1 – Extreme anxiety
2 – High anxiety
3 – Moderate anxiety
4 – Mild anxiety
5 – No anxiety
15. Being locked in a small, dark, windowless room for 15 minutes.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
16. Being locked in a small, well-lit room with no windows for 15 minutes.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
17. Being handcuffed for 15 minutes.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
18. Having your hands tied behind your back for 15 minutes.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
19. Being stuck in tight clothing and unable to take it off.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
20. Stand for 15 minutes wearing a straitjacket.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
21. Lying in a tight sleeping bag that covers your arms and legs and is fastened around your neck, unable to get out for 15 minutes.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
22. Put your head in first into a zipped sleeping bag that you can get out of at any time.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
23. Lying in a car trunk with adequate ventilation for 15 minutes.
1 - Extreme anxiety
2 - Severe anxiety
3 - Moderate anxiety
4 - Mild anxiety
5 - No anxiety
24. Having your legs tied to a chair that is secured to the floor.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
25. Being in a public restroom stall when the lock is jammed.
1 – Extreme anxiety
2 – Severe anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety
26. Being in an overcrowded train that has stopped between stations.
1 – Extreme anxiety
2 – Strong anxiety
3 – Moderate anxiety
4 – Slight anxiety
5 – No anxiety