OBSESSIONS
Obsessions are unwelcome and distressing ideas, thoughts, or impulses that repeatedly enter your mind. They may seem to occur against your will. They may be repugnant to you, you may recognize them as senseless, and they may not fit your personality. Examples : recurrent thought or impulses to do harm to a child even though you never would, the idea that household cleansers may lead to contamination and serious illness obsessions when answering the first 5 questions. Select the answer that best describes you over the last 7 days (including today) .
How much of your time is occupied by obsessive thoughts? How frequently do these thoughts occur?
Please select your answer
None
Less than 1 hour/day or occasional occurrence
1 to 3 hours/day or frequent occurrence
More than 3 and up to 8 hours/day or very frequent occurrence
More than 8 hours/day or nearly constant occurrence
How much do your obsessive thoughts interfere with your personal, social or work functioning?
Please select your answer
None
Slight interference with social or other activities, but overall performance not impaired
Definite interference with social or occupational performance, but still manageable
Substantial interference in social or occupational performance
Extreme, incapacitating interference
How much distress do your obsessive thoughts cause you?
Please select your answer
None
Mild, infrequent and not too disturbing distress
Moderate, frequent and disturbing distress, but still manageable
Severe, very frequent and very disturbing distress
Extreme, near constant and disabling distress
How much effort do you make to resist the obsessive thought? How often do you try to disregard or turn your attention away from those thoughts as they enter your mind?
Please select your answer
Try to resist all the time (or the obsessions are so minimal there is no need to actively resist them)
Try to resist most of the time (e.g., more than half of the time)
Make some effort to resist
Yield to all obsessions without attempting to control them, but with some reluctance
Completely and willingly yield to all obsessions
How much control do you have over your obsessive thoughts? How successful are you in stopping or diverting your obsessive thinking?
Please select your answer
Complete control
Much control; usually able to stop or divert obsessions with some effort and concentration
Moderate control; sometimes able to stop or divert obsessions
Little control; rarely successful in stopping or dismissing obsessions, can only divert attention with difficulty
No control; rarely able to even momentarily alter obsessive thinking
OBSESSIONS CHECKLIST
Please select any obsessions you are currently experiencing or have experienced in the past.
Hoarding/Saving Obsessions
This is different from hobbies and concern with objects of monetary or sentimental value.
Religious Obsessions (Scrupulosity)
Obsession with Need for Symmetry or Exactness
Other Obsessions
Please describe any obsessions for which you indicated "Other" above.
COMPULSIONS
Compulsions are behaviors or acts that you feel driven to perform although you may recognize them as senseless or excessive. Usually compulsions are performed in response to an obsession, or according to certain rules or in a stereotyped fashion. At times, you may try to resist doing them but this may prove difficult. You may experience discomfort that does not diminish until the behavior is completed.Examples: the need to repeatedly check appliances, water faucets, and the lock on the front door before you can leave the house, repeated handwashing, silent checking or having to recite nonsense phrases to yourself each time you have a bad thoughtcompulsions when answering the last 5 questions. Select the answer that best describes you over the last 7 days (including today) .
How much time do you spend performing compulsive behaviors? How frequently do you perform compulsions?
Please select your answer
None
Less than 1 hour/day or occasional performance of compulsive behaviors
From 1 to 3 hours/day or frequent performance of compulsive behaviors
More than 3 and up to 8 hours/day or very frequent performance of compulsive behaviors
More than 8 hours/day or near constant performance of compulsive behaviors (too numerous to count)
How much do your compulsive behaviors interfere with your personal, social or work functioning?
Please select your answer
None
Slight interference with social or other activities, but overall performance not impaired
Definite interference with social or occupational performance, but still manageable
Substantial interference in social or occupational performance
Extreme, incapacitating interference
How would you feel if prevented from performing your compulsion(s)? How anxious would you become?
Please select your answer
Not at all anxious
Only slightly anxious if compulsions prevented
Anxiety would mount but remain manageable if compulsions prevented
Prominent and very disturbing increase in anxiety if compulsions interrupted
Extreme, incapacitating anxiety from any intervention aimed at reducing compulsions
How much effort do you make to resist the compulsion(s)?
Please select your answer
Always try to resist (or the symptoms are so minimal there is no need to actively resist them)
Try to resist most of the time (e.g., more than half of the time)
Make some effort to resist
Yield to all compulsions without attempting to control them, but with some reluctance
Completely and willingly yield to all compulsions
How much control do you have over the compulsion(s)? How successful were you in stopping the ritual(s)?
Please select your answer
Complete control
Pressure to perform behavior; usually able to stop with some effort and willpower
Strong pressure to perform behavior; can control it only with difficulty
Very strong drive to perform behavior; must be carried to completion, can only delay with difficulty
Drive to perform behavior is involuntary and overwhelming; rarely able to even momentarily delay activity
Cleaning/Washing Compulsions
Ordering/Arranging Compulsions
Hoarding/Collecting Compulsions
This is different from hobbies and concern with objects of monetary or sentimental value.
Miscellaneous Compulsions
Other Compulsions
Please describe any compulsions for which you indicated "Other" above.
