If you would prefer to fill in this questionnaire offline you can download a pdf by clicking on the link.
This is an abridged version of the Mobility Inventory for Agoraphobia. It only includes those items that relate to avoidance of situations. Some items have been reworded to give a UK English equivalent to American English terms.
The Mobility Inventory calculates a score for two separate scales: first, avoidance of situations when accompanied (Avoidance Accompanied scale) and second, avoidance when alone (Avoidance Alone scale). Please complete both scales.
The most relevant score on the Mobility Inventory is not the total for each of the two scales because not every situation will apply to you. Instead an average (also called the mean) is calculated for each of the scales.
Chambless et al. (1985) report that people who met the diagnostic criteria for agoraphobia scored an average of 2.5 on the Avoidance Accompanied scale and 3.3 on the Avoidance Alone scale. People who did not meet the diagnostic criteria for agoraphobia scored on average 1.07 on the Avoidance Accompanied scale and 1.35 on the Avoidance Alone scale.
Reference
Chambless, D. L., Caputo, G. C., Jasin, S. E., Gracely, E. J., & Williams, C. (1985). The Mobility Inventory for Agoraphobia. Behaviour Research and Therapy, 23(1), 35-44.
Please treat your scores on these or any other online questionnaires with caution. Questionnaires cannot be used to make a diagnosis of a mental health condition. Where a mental health condition has been diagnosed by a suitably qualified and experienced health professional these questionnaires may be used as a guide to the current severity of your condition. Always consult with a qualified health professional if you are concerned in any way about your mental health.
If you are worried about your safety, you should immediately consult with your GP or another suitably qualified health professional. If you are in the UK the following numbers might be of help to you:
You can find more guidance and additional helpline numbers on this NHS page: Help for suicidal thoughts