Obsessions are thoughts, ideas, or pictures that keep coming into your mind even though you do not want them to. They may be unpleasant, silly or embarassing.Examples : the repeated thought that germs or dirt are harming you or other people, or that something unpleasant might happen to you or someone in your family or someone special to youobsessions when answering the first 5 questions. Select the answer that best describes you over the last 7 days (including today) .
How much time do you spend thinking about these things? 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 these thoughts get in the way of school or doing things with friends? Is there anything you don't do because of them?
Please select your answer
None
Slight interference with social or school activities, but overall performance not impaired
Definite interference with social or school performance, but still manageable
Substantial interference in social or school performance
Incapacitating interference
How much do these thoughts bother or upset you?
Please select your answer
None
Infrequent and not too disturbing
Frequent and disturbing distress, but still manageable
Very frequent and very disturbing
Near constant and disabling distress/frustration
How hard do you try to stop the thoughts or ignore them?
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
When you try to fight the thoughts, can you beat them? How much control do you have over the thoughts?
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
Please check any obsessions you are currently experiencing or have experienced in the past.
Contamination Obsessions
Concern with dirt, germs, certain illnesses (e.g., AIDS)
Concerns or disgust with bodily waste or secretions (e.g., urine, feces, saliva)
Excessive concern with environmental contaminants (e.g., asbestos, radiation, toxic waste)
Excessive concern with household items (e.g., cleaners, solvents)
Excessive concern about animals/insects
Excessively bothered by sticky substances or residues
Concerned will get ill because of contaminant
Concerned will get others ill by spreading contaminant (aggressive)
No concern with consequences of contamination other than how it might feel
Other (describe below)
Sexual Obsessions
Sexual obsessions are repetitive thoughts that you would rather not have or find disturbing.
Hoarding/Saving Obsessions
A hoarding/saving obsession is different from hobbies and concern with objects of monetary or sentimental value.
Magical Thoughts/Superstitious Obsessions
Religious Obsessions (Scrupulosity)
Other Obsessions
Please describe any obsessions for which you selected "Other" above.
Compulsions are things that you feel you have to do although you may know that they do not make sense. Sometimes you may try to stop from doing them but this might not be possible. You might feel worried or angry or frustrated until you have finished what you have to do.Examples: the need to wash your hands over and over again even though they are not really dirty, or the need to count up to a certain number while you do certain thingscompulsions 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 doing these things? How often do you do these habits?
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 these habits get in the way of doing things with friends? Is there anything you don't do because of them?
Please select your answer
None
Slight interference with social or school activities, but overall performance not impaired
Definite interference with social or school performance, but still manageable
Substantial interference in social or school performance
Extreme, incapacitating interference
How would you feel if prevented from carrying out your habits? How upset would you become? How upset do you get while carrying out your habits until you are satisfied?
Please select your answer
None
Only slight anxious/frustrated if habits prevented, or only slight anxiety/frustration during performance of habits
Anxiety/frustration would mount but remain manageable if habits prevented. Anxiety/frustration increases but remains manageable during performance of habits.
Prominent and very disturbing increase in anxiety/frustration if compulsions interrupted. Prominent and very disturbing increase in anxiety/frustration during performance of compulsions.
Extreme, incapacitating anxiety/frustration from any intervention aimed at modifying activity. Incapacitating anxiety/frustration develops during performance of compulsions.
How much do you try to fight the habits?
Please select your answer
Makes an effort to always resist, or the symptoms are so minimal there is no need to actively resist
Tries to resist most 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 strong is the feeling that you have to carry out the habit(s)? How much control do you have over the habits?
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
Please check any compulsions you are currently experiencing or have experienced in the past.
Washing/Cleaning Compulsions
Counting Compulsions
This includes objects, certain numbers, words, etc.
Hoarding/Saving Compulsion
This is different from hobbies or concern with objects of monetary or sentimental value.
Excessive Games/Superstitious Behaviors
Different from age-appropriate magical games.
Rituals Involving Other Persons
The need to involve another person (usually a parent) in ritual (e.g., asking a parent to repeatedly answer the same question, making mother perform certain meal-time rituals involving specific utensils.
Miscellaneous Compulsions
Other Compulsions
Please describe any compulsions for which you selected "Other" above.
