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Claustrophobia miniscreen

	Not at all anxious	Slightly anxious	Moderately anxious	Very anxious	Extremely anxious
Restriction items
1. Tied up with hands behind back for 15 minutes	0	1	2	3	4
2. Standing for 15 minutes in a straightjacket	0	1	2	3	4
3. Having your legs tied to an immovable chair	0	1	2	3	4
Suffocation items
1. Working under a sink for 15 minutes	0	1	2	3	4
2. Standing in an elevator on the ground floor with the doors closed	0	1	2	3	4
3. Lying on a bottom bunk bed	0	1	2	3	4

Please indicate the degree to which you would feel anxious in each of the following situations by circling the most appropriate number.

Reprinted by permission from: Springer: Journal of Behavioral Medicine. McIsaac HK, Thordarson DS, Shafron R, et al. Claustrophobia and the magnetic resonance imaging procedure. J Behav Med 1998; 21:255. Copyright © 1998. https://link.springer.com/journal/10865.

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