1.	On a first date in a restaurant, do you often lose your appetite? Yes. No.
2.	When your date talks, do you have trouble looking him or her straight in the eye? Yes. No.
3.	Do you get embarrassed easily on a date? Yes. No.
4.	Do you find yourself blushing more than usual? Yes. No.
5.	Do you find you can't speak as easily when you're out on a date as you can normally? Yes. No.