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OCD Self-Assessment Questionnaire
The following questionnaire will help you identify the types of problems
that most trouble you.
Read through the statements listed and note the ones that are
true for you. If you note two or more items in any group,
this is an indication that you should specifically address those concerns in your
self-help program. Don't be surprised if you check more than one item in several groups.
Many people have more than one type of OCD symptoms.
(you can't actually write on this page unless you print
it out.)
A. What Symptoms Bother You? Note each item that has
troubled you in the last month.
Washing and Cleaning
___ 1. I avoid touching certain things because of
possible contamination.
___ 2. I have difficulty picking up items that have
dropped on the floor.
___ 3. I clean my household excessively.
___ 4. I wash my hands excessively.
___ 5. I often take extremely long showers or baths.
___ 6. I'm overly concerned with germs and diseases.
Checking and Repeating
___ 1. I frequently have to check things over and over
again.
___ 2. I have difficulty finishing things because I
repeat actions.
___ 3. I often repeat actions in order to prevent
something bad from happening.
___ 4. I worry excessively about making mistakes.
___ 5. I worry excessively that someone will get harmed
because of me.
___ 6. Certain thoughts that come into my mind make me
do things over and over again.
Ordering
___ 1. I must have certain things around me set in a
specific order.
___ 2. I spend much time making sure that things are in
the right place.
___ 3. I notice immediately when my things are out of
place.
___ 4. It is important that my bed is straightened out
impeccably.
___ 5. I need to arrange certain things in special
patterns.
___ 6. When my things are rearranged by other, I get
extremely upset.
Hoarding
___ 1. I have difficulty throwing things away.
___ 2. I find myself bringing home seemingly useless
materials.
___ 3. Over the years my home has become cluttered with
collections.
___ 4. I do not like other people to touch my
possessions.
___ 5. I find myself unable to get rid of things.
___ 6. Other people think my collections are useless.
Thinking Rituals
___ 1. Repeating certain words or numbers in my head
makes me feel good.
___ 2. I often have to say certain things to myself
again and again in order to feel safe.
___ 3. I find myself spending a lot of time praying for
non-religious purposes.
___ 4. "Bad" thoughts force me to think about
"good" thoughts.
___ 5. I try to remember events in detail or make
mental lists to prevent unpleasant consequences.
___ 6. The only way I can stay calm at times is by
thinking the "right" things.
Worries and Pure Obsessions
While I do not engage in any behavioral or thinking rituals:
___ 1. I often get upset by unpleasant thoughts that
come into my mind against my will.
___ 2. I usually have doubts about the simple everyday
things I do.
___ 3. I have no control over my thoughts.
___ 4. Frequently the things that pop into my mind are
shameful, frightening, violent, or bizarre.
___ 5. I'm afraid that my bad thoughts will come true.
___ 6. When I start to worry I cannot easily stop.
___ 7. Little, insignificant events make me worry
excessively.
B. In the past month, how much time have you spent, on an
average day, engaged in these symptoms. Note the hours or minutes for each.
|
Hours |
Minutes |
| Washing and Cleaning |
|
|
| Checking and Repeating |
|
|
| Ordering |
|
|
| Hoarding |
|
|
| Thinking Rituals |
|
|
| Worrying or Obsessing |
|
|
Now total up the number of hours and minutes you listed in
part B. If you spend more than two hours each day obsessing or ritualizing in any type of
symptoms, you may need professional help in guiding you through this program. Please
contact us if you need a referral.
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