Social Phobia Inventory
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Use our readymade template to create your Social Phobia Inventory (SPIN) screening tool for social anxiety disorder

Create your care assessments

SPIN score Symptom Severity Proposed treatment
0-20 None May not need treatment
21-30 Mild Consider counseling
31-40 Moderate Consider medication and therapy
41-50 Severe Active treatment
51-68 Very Severe Immediate initiation
  • navigate_next Prebuilt template with SPIN scoring to assess the presence of social anxiety disorder and measure its severity
  • navigate_next 17-item questionnaire that scores each item from “0” (not at all) to “4” (extremely)
  • navigate_next Real-time calculation of SPIN Score and symptom severity based on the form responses
  • navigate_next Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
  • navigate_next Compare the scores from the initial screening with that of the followup to track the progression of social anxiety disorder
  • navigate_next Easily create responsive forms that allow patients to complete their assessments on any device at any time

Collect responses from your patients

Patient ID 1005
Patient Name Jane D
Patient Email janed@ymail.com
Patient Phone Number 1234567890
Doctor's Name Dr. Smith
Location New York
For each statement below, please select the answer that best describes how you have been feeling during the last week
I am afraid of people in authority. Very Much
I am bothered by blushing in front of people. Somewhat
Parties and social events scare me. A Little Bit
I avoid talking to people I don’t know. Not At All
Being criticized scares me a lot. Very Much
I avoid doing things or speaking to people for fear of embarrassment. Extremely
Sweating in front of people causes me distress. Somewhat
I avoid going to parties. A Little Bit
I avoid activities in which I am the center of attention. Very Much
Talking to strangers scares me. Somewhat
I avoid having to give speeches. Not At All
I would do anything to avoid being criticized. Very Much
Heart palpitations bother me when I am around people. Somewhat
I am afraid of doing things when people might be watching. A Little Bit
Being embarrassed or looking stupid are among my worst fears. Very Much
I avoid speaking to anyone in authority. Somewhat
Trembling or shaking in front of others is distressing to me. A Little Bit
SPIN Score 38
Symptom Severity Moderate
  • navigate_next Pre-populate patient details such as patient id, name, email etc in the SPIN assessment form before sharing it with the patients
  • navigate_next Send an email invitation with a secure link for patients to complete their SPIN assessment form prior to their visit
  • navigate_next Allow patients to save their progress and complete their SPIN assessment form at a later time without losing any responses
  • navigate_next Set up an email template for your SPIN assessment and automatically send invitation emails to multiple patients with ease
  • navigate_next Send a confirmation email to the patients with their SPIN score, diagnosis, next steps when they submit their SPIN assessment

Track patient responses in Google Sheets

A B C D E
1 Name Question Answer Score Total Score
2 Jane D I am afraid of people in authority. Very Much 3 38
3 Jane D I am bothered by blushing in front of people. Somewhat 2 38
4 Jane D Parties and social events scare me. A Little Bit 1 38
5 Jane D I avoid talking to people I don’t know. Not At All 0 38
6 Jane D Being criticized scares me a lot. Very Much 3 38
7 Jane D I avoid doing things or speaking to people for fear of embarrassment. Extremely 4 38
8 Jane D Sweating in front of people causes me distress. Somewhat 2 38
9 Jane D I avoid going to parties. A Little Bit 1 38
10 Jane D I avoid activities in which I am the center of attention. Very Much 3 38
11 Jane D Talking to strangers scares me. Somewhat 2 38
12 Jane D I avoid having to give speeches. Not At All 0 38
13 Jane D I would do anything to avoid being criticized. Very Much 3 38
14 Jane D Heart palpitations bother me when I am around people. Somewhat 2 38
15 Jane D I am afraid of doing things when people might be watching. A Little Bit 1 38
16 Jane D Being embarrassed or looking stupid are among my worst fears. Very Much 3 38
17 Jane D I avoid speaking to anyone in authority. Somewhat 2 38
18 Jane D Trembling or shaking in front of others is distressing to me. A Little Bit 1 38
  • navigate_next Export patient responses including the calculated SPIN score and symptom severity to Google Sheets for easy record-keeping
  • navigate_next Export individual points for 17 items to Google Sheets for data manipulation and analysis for comprehensive insights
  • navigate_next Use pre-built reports to easily keep track of patient progress over time and monitor changes in their social anxiety symptoms
  • navigate_next Receive a copy of the response and the calculated SPIN score by email whenever a patient submits their SPIN assessment
  • navigate_next Use data in Google Sheets to integrate with external EHR systems for seamless data transfer

HIPAA compliance

Patient ID: 1005
Patient Name: ******
Patient Email: ******
Patient Phone Number: ******
Doctor's Name: Dr. Smith
Location: New York
For each statement below, please select the answer that best describes how you have been feeling during the last week
I am afraid of people in authority.:Very Much
I am bothered by blushing in front of people.:Somewhat
Parties and social events scare me.:A Little Bit
I avoid talking to people I don’t know.:Not At All
Being criticized scares me a lot.:Very Much
I avoid doing things or speaking to people for fear of embarrassment.:Extremely
Sweating in front of people causes me distress.:Somewhat
I avoid going to parties.:A Little Bit
I avoid activities in which I am the center of attention.:Very Much
Talking to strangers scares me.:Somewhat
I avoid having to give speeches.:Not At All
I would do anything to avoid being criticized.:Very Much
Heart palpitations bother me when I am around people.:Somewhat
I am afraid of doing things when people might be watching.:A Little Bit
Being embarrassed or looking stupid are among my worst fears.:Very Much
I avoid speaking to anyone in authority.:Somewhat
Trembling or shaking in front of others is distressing to me.:A Little Bit
SPIN Score: 38
Symptom Severity: Moderate
SPIN Score: 38
Symptom Severity: Moderate
  • navigate_next Create a HIPAA compliant SPIN assessment form to safely collect, store and access patient responses
  • navigate_next Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
  • navigate_next Automatically mask PHI fields when exporting SPIN form responses to Google Sheets and sending them on email
  • navigate_next Prepopulate patient details in SPIN assessments by creating secure prefill links without exposing PHI
  • navigate_next Limit access to patient data only for authorized personnel and minimize the risk of data breaches

These reviews are reproduced without modification from Google Workspace Marketplace.

July 27, 2023

5 stars

I am 100% a fan of this company. We use HIPAA compliant Google Forms and needed a way to collect signatures, the industry standard company is TOO expensive. I started using FormEsign and it worked perfectly. It lacked the ability to provide a pdf copy of the form after signature. This company worked with me help their product evolve into something that could benefit all future clients AND the end user. The team was polite, professional, kind, enthusiastic, and willing to make a change. This earned my loyalty. I will sing their praises. Good work, and thank you!

— Royal Bush

July 23, 2023

5 stars

I am not tech savvy. I chose formesign to help create registration links for clients. Vipid has been great in assisting me. He goes above and beyond. My company now has moved from the stone age to modern age through the ability to use this feature. Of the many features I am impressed with, the ability to update a form without needing to regenerate a link is amazing. I often make mistakes and that ability allows me to fix mistakes without needing to change everything. Thank you!!!

— Sol Evans

February 16, 2024

1 stars

Does not work

— Myles Sicuro

October 31, 2023

5 stars

We needed a way to create forms with e-signatures and this app made it very easy. Support is also very quick and always helpful. Cannot recommend enough!

— Chris Henesy

July 12, 2023

5 stars

It very friendly to used. I love it. For my case multiple signature needed. it's supporting

— Senthil Kumar

November 27, 2023

5 stars

Yeah this is good for all

— luqman khan

July 10, 2023

5 stars

We were looking for a way to have a signature option in our form. Formesign addon allowed us to collect signatures for the acknowledgment and consent forms. It was simple and easy to setup. Very useful addon for google forms.

— Joan S

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