Avoidance Identification Chart
Directions: Make a list of all the things you avoid. Rate the degree to which you avoid each item: (0 = not at all, 10 = completely).
Include items that are somewhat uncomfortable (4–7) along with ones you
must completely avoid (9–10).
Situations or Objects Avoided Degree Avoided (0–10)
Examples:
• Using a public laundry 10
• Using the laundry in my apartment complex 6
• Touching a doorknob in a high-class restaurant 7
• Touching a doorknob in a fast-food restaurant 8
• Buying items that I saw someone else touch 8
• Checking out a book from the public library 4
• Picking up litter 10
What I avoid:
