Check all that apply. Distinguish between Current and Past symptoms. Use this list to identify target symptoms before scoring severity below.
Fear might harm self
Fear might harm others
Violent or horrific images
Fear of blurting out obscenities or insults
Fear of doing something else embarrassing
Fear will act on unwanted impulses (e.g., to stab friend)
Fear will steal things
Fear will harm others because not careful enough (e.g., hit/run MVA)
Fear will be responsible for something else terrible happening (e.g., fire, burglary)
Concerns or disgust with bodily waste or secretions (e.g., urine, feces, saliva)
Concern with dirt or germs
Excessive concern with environmental contaminants (e.g., asbestos, radiation, toxic waste)
Excessive concern with household items (e.g., cleansers, solvents)
Excessive concern with animals (e.g., insects)
Bothered by sticky substances or residues
Concerned will get ill because of contaminant
Concerned will get others ill by spreading contaminant
Forbidden or perverse sexual thoughts, images, or impulses
Content involves children or incest
Content involves homosexuality
Sexual behavior toward others (Aggressive)
Distinguish from hobbies and concern with objects of monetary or sentimental value
Concerned with sacrilege and blasphemy
Excess concern with right/wrong, morality
Accompanied by magical thinking (e.g., mother will have accident unless things in right place)
Not accompanied by magical thinking
Need to know or remember
Fear of saying certain things
Fear of not saying just the right thing
Fear of losing things
Intrusive (non-violent) images
Intrusive nonsense sounds, words, or music
Bothered by certain sounds/noises
Lucky/unlucky numbers
Colors with special significance / Superstitious fears
Concern with illness or disease
Excessive concern with body part or aspect of appearance (e.g. dysmorphophobia)
Excessive or ritualized handwashing
Excessive/ritualized showering, bathing, toothbrushing, grooming
Involves cleaning of household items or other inanimate objects
Other measures to prevent or remove contact with contaminants
Checking locks, stove, appliances, etc.
Checking that did not/will not harm others
Checking that did not/will not harm self
Checking that nothing terrible did/will happen
Checking that did not make mistake
Checking tied to somatic obsessions
Re-reading or re-writing
Need to repeat routine activities (e.g., in/out door, up/down from chair)
Counting objects, words, etc.
Need for symmetry, ordering, arranging
Distinguish from hobbies (e.g., reading junk mail, piles of newspapers, collecting useless objects)
Mental rituals (other than checking/counting)
Excessive listmaking
Need to tell, ask, or confess
Need to touch, tap, or rub
Rituals involving blinking or staring
Ritualized eating behaviors
Superstitious behaviors
Trichotillomania (Hair pulling)
Other self damaging or self-mutilating behaviors
