he 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.


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.


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.


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.


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.


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.


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.

1. Hours
2. Minutes
3. Washing and Cleaning
4. Checking and Repeating
5. Ordering
6. Hoarding
7. Thinking Rituals
8. 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. support@sukhilallipharmacist.com

This material is intended for informational purposes only and is not a substitute for the medical advice of your doctor or any other health care professional. Always consult with your physician if you are in any way concerned about your health.

Revised May 30 2002

© 2002 SLPM Self care Ltd.

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