Screening Test For Obsessive-Compulsive Disorder Take a Personal Screening Test Step 1 of 2 50% Name(Required) First Last Email(Required) Phone(Required)Part A Please select 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?(Required) YES NO HiddenQuestion 1 - Score2. Over concern with keeping objects (clothing, groceries, tools) in perfect order or arranged exactly?(Required) YES NO HiddenQuestion 2 - Score3. Images of death or other horrible events?(Required) YES NO HiddenQuestion 3 - Score4. Personally unacceptable religious or sexual thoughts?(Required) YES NO HiddenQuestion 4 - ScoreHave you worried a lot about terrible things happening, such as:5. Fire, burglary, or flooding the house?(Required) YES NO HiddenQuestion 5 - Score6. Accidentally hitting a pedestrian with your car or letting it roll down the hill?(Required) YES NO HiddenQuestion 6 - Score7. Spreading an illness (giving someone AIDS)?(Required) YES NO HiddenQuestion 7 - Score8. Losing something valuable?(Required) YES NO HiddenQuestion 8 - Score9. Harm coming to a loved one because you weren't careful enough?(Required) YES NO HiddenQuestion 9 - ScoreHave 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?(Required) YES NO HiddenQuestion 10 - ScoreHave you felt driven to perform certain acts over and over again, such as:11. Excessive or ritualized washing, cleaning, or grooming?(Required) YES NO HiddenQuestion 11 - Score12. Checking light switches, water faucets, the stove, door locks, or emergency brake?(Required) YES NO HiddenQuestion 12 - Score13. Counting; arranging; evening-up behaviors (making sure socks are at same height)?(Required) YES NO HiddenQuestion 13 - Score14. Collecting useless objects or inspecting the garbage before it is thrown out?(Required) YES NO HiddenQuestion 14 - Score15. Repeating routine actions (in/out of chair, going through doorway, re-lighting cigarette) a certain number of times or until it feels just right(Required) YES NO HiddenQuestion 15 - Score16. Need to touch objects or people?(Required) YES NO HiddenQuestion 16 - Score17. Unnecessary re-reading or re-writing; re-opening envelopes before they are mailed?(Required) YES NO HiddenQuestion 17 - Score18. Examining your body for signs of illness?(Required) YES NO HiddenQuestion 18 - Score19. Avoiding colors ("red" means blood), numbers ("l 3" is unlucky), or names (those that start with "D" signify death) that are associated with dreaded events or unpleasant thoughts?(Required) YES NO HiddenQuestion 19 - Score20. Needing to "confess" or repeatedly asking for reassurance that you said or did something correctly?(Required) YES NO HiddenQuestion 20 - ScoreHiddenPart A Score Part B The following questions refer to the repeated thoughts, images, urges, or behaviors identified in Part A. Consider your experience during the past 30 days when selecting an answer. Select the most appropriate number from 0 to 4.1. On average, how much time is occupied by these thoughts or behaviors each day?(Required) 0 - None 1 - Mild (less than 1 hour) 2 - Moderate (1 to 3 hours) 3 - Severe (3 to 8 hours) 4 - Extreme (more than 8 hours) HiddenQuestion B1 Score - 0HiddenQuestion B1 Score - 1HiddenQuestion B1 Score - 2HiddenQuestion B1 Score - 3HiddenQuestion B1 Score - 42. How Much distress do they cause you?(Required) 0 - None 1 - Mild 2 - Moderate 3 - Severe 4 - Extreme (disabling) HiddenQuestion B2 Score - 0HiddenQuestion B2 Score - 1HiddenQuestion B2 Score - 2HiddenQuestion B2 Score - 3HiddenQuestion B2 Score - 43. How hard is it for you to control them?(Required) 0 - Complete control 1 - Much control 2 - Moderate control 3 - Little control 4 - No control HiddenQuestion B3 Score - 0HiddenQuestion B3 Score - 1HiddenQuestion B3 Score - 2HiddenQuestion B3 Score - 3HiddenQuestion B3 Score - 44. How much do they cause you to avoid doing anything, going any place, or being with anyone?(Required) 0 - No avoidance 1 - Occasional avoidance 2 - Moderate avoidance 3 - Frequent and extensive 4 - Extreme (housebound) HiddenQuestion B4 Score - 0HiddenQuestion B4 Score - 1HiddenQuestion B4 Score - 2HiddenQuestion B4 Score - 3HiddenQuestion B4 Score - 45. How much do they interfere with school, work or your social or family life?(Required) 0 - None 1 - Slight interference 2 - Definitely interferes with functioning 3 - Much interference 4 - Extreme (disabling) HiddenQuestion B5 Score - 0HiddenQuestion B5 Score - 1HiddenQuestion B5 Score - 2HiddenQuestion B5 Score - 3HiddenQuestion B5 Score - 4HiddenPart B ScoreEmailThis field is for validation purposes and should be left unchanged.
