Part A. Please circle YES or NO |
Have you been bothered by unpleasant thoughts or images that repeatedly enter your mind, such as: |
1. concerns with contamination (dirt, germs, chemicals, radiation) or acquiring a serious illness such as AIDS? |
Yes |
No |
2. overcome with keeping objects (clothing, groceries, tools) in perfect order or arranged exactly? |
Yes |
No |
3. images of death or other horrible events? |
Yes |
No |
4. personally unacceptable religious or sexual thoughts? |
Yes |
No |
6. accidentally hitting a pedestrian with your car or letting it roll down the hill? |
Yes |
No |
7. spreading an illness (giving someone AIDS)? |
Yes |
No |
8. losing something valuable? |
Yes |
No |
9. harm coming to a loved one because you weren't careful enough? |
Yes |
No |
Have you worried about acting on an unwanted and senseless urge or impulse, such as: |
10. physically harming a loved one, pushing a stranger in front of a bus, steering your car into oncoming traffic, inappropriate sexual contact, or poisoning dinner guests? |
Yes |
No |
Have you ever felt driven to perform certain acts over and over again, such as: |
11. excessive or ritualized washing, cleening, or grooming? |
Yes |
No |
12. checking light switches, water faucets, the stove, door locks, or emergency break? |
Yes |
No |
13. counting; arranging; evening-up behaviours (making sure your socks are the same height) |
Yes |
No |
14. collecting useless objects or inspecting the garbage before it is thrown out?
|
Yes |
No |
15. repeating routine actions (in/out of chair, going through the doorway, re-lighting cigarette) a certain number of times or until it feels just right |
Yes |
No |
16. need to touch objects to people? |
Yes |
No |
17. unnecessary re-reading or re-writing; re-opening envelopes before they are mailed? |
Yes |
No |
18. examining your body for signs of illness? |
Yes |
No |
19. avoiding colours ("red" means blood), numbers ("13" is unlucky), or names (those that start with "D" signify death) that are associated with dreaded events or unpleasant thoughts? |
Yes |
No |
20. needing to "confess" or repeatedly asking for reassurance that you did something correctly? |
Yes |
No |
If you answered YES to 2 or more of the above questions, please continue with Part B |