The OCD Treatment Centre: Self Assessment Form

1
Welcome to The OCD Treatment Centre self assessment. This following questions are to give you some idea as to whether you are experiencing OCD (Obsessive Compulsive Disorder) as well as the severity of your symptoms. Please answer each of the questions as honestly as you can to give you the most accurate results.

ALL INFORMATION PROVIDED IS STRICTLY CONFIDENTIAL.

Please remember that this assessment is a self assessment tool only, and is not an adequate replacement for the obtaining of a diagnosis, an assessment or advice from a mental health professional, or treatment.

The following assessment is divided into 13 sub sections of OCD sub-types, including 100 questions in total. The assessment takes between 10-15 minutes to complete, and advice on how to interpret your results will be provided at the end of the test.
2
Type a questionWhat is your gender or how do you identify?
Male
Female
Prefer not say
3
Where do you live?
4
What age are you?
5 -12 years old
13 - 19 years old
20 - 65 years old
Over 65 years old
5
How often do you experience the following symptoms around Somatic experiences?* This field is required.
Never
Rarely
Sometimes
Often
Always
I am hyper aware of bodily sensations such as breathing, sounds and what I can see in my field of vision
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I worry that if I don't deliberately breathe, I may stop breathing
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
I worry that I will be hyper-vigilant of such bodily sensations forever
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I am hyper aware of bodily sensations such as breathing, sounds and what I can see in my field of vision
I worry that if I don't deliberately breathe, I may stop breathing
I worry that I will be hyper-vigilant of such bodily sensations forever
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
1 of 3
6
How often do you experience the following symptoms around responsibility and harm?* This field is required.
Never
Rarely
Sometimes
Often
Always
I worry that I may have offended others, meaning they do not like me
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I worry that I have caused harm to others, although sometimes I am not always sure how
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
I often feel guilt for no apparent reason
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I am concerned that I may lose control, or have some inner desire to hurt others
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
I experience intrusive thoughts and images about hurting others that upset me
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
I avoid anything that reminds me of harming others, like knives, dressing gown belts, certain news programs or news articles
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
I spend time going over scenarios in my head and replaying events where I fear I may have caused harm
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
I seek reassurance from friends and family that I am not a bad person
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
I worry that I may throw something important away, which may mean that I could get in trouble with the law
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
Row 8, Column 4
I worry that one day I might go crazy
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
Row 9, Column 4
I avoid substances like alcohol, as it may make me forget my actions
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Row 10, Column 3
Row 10, Column 4
I avoid handling foods like raw chicken, due to being concerned with salmonella poisoning
Row 11, Column 0
Row 11, Column 1
Row 11, Column 2
Row 11, Column 3
Row 11, Column 4
I obsess over whether I am in a relationship with the correct person
Row 12, Column 0
Row 12, Column 1
Row 12, Column 2
Row 12, Column 3
Row 12, Column 4
I am terrified about losing control in public, such as being sick in front of others or losing control of my bowels
Row 13, Column 0
Row 13, Column 1
Row 13, Column 2
Row 13, Column 3
Row 13, Column 4
I am afraid to throw things away, in case they cause harm to others without my knowing
Row 14, Column 0
Row 14, Column 1
Row 14, Column 2
Row 14, Column 3
Row 14, Column 4
I worry that I may have offended others, meaning they do not like me
I worry that I have caused harm to others, although sometimes I am not always sure how
I often feel guilt for no apparent reason
I am concerned that I may lose control, or have some inner desire to hurt others
I experience intrusive thoughts and images about hurting others that upset me
I avoid anything that reminds me of harming others, like knives, dressing gown belts, certain news programs or news articles
I spend time going over scenarios in my head and replaying events where I fear I may have caused harm
I seek reassurance from friends and family that I am not a bad person
I worry that I may throw something important away, which may mean that I could get in trouble with the law
I worry that one day I might go crazy
I avoid substances like alcohol, as it may make me forget my actions
I avoid handling foods like raw chicken, due to being concerned with salmonella poisoning
I obsess over whether I am in a relationship with the correct person
I am terrified about losing control in public, such as being sick in front of others or losing control of my bowels
I am afraid to throw things away, in case they cause harm to others without my knowing
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
Never
Row 3, Column 0
Rarely
Row 3, Column 1
Sometimes
Row 3, Column 2
Often
Row 3, Column 3
Always
Row 3, Column 4
Never
Row 4, Column 0
Rarely
Row 4, Column 1
Sometimes
Row 4, Column 2
Often
Row 4, Column 3
Always
Row 4, Column 4
Never
Row 5, Column 0
Rarely
Row 5, Column 1
Sometimes
Row 5, Column 2
Often
Row 5, Column 3
Always
Row 5, Column 4
Never
Row 6, Column 0
Rarely
Row 6, Column 1
Sometimes
Row 6, Column 2
Often
Row 6, Column 3
Always
Row 6, Column 4
Never
Row 7, Column 0
Rarely
Row 7, Column 1
Sometimes
Row 7, Column 2
Often
Row 7, Column 3
Always
Row 7, Column 4
Never
Row 8, Column 0
Rarely
Row 8, Column 1
Sometimes
Row 8, Column 2
Often
Row 8, Column 3
Always
Row 8, Column 4
Never
Row 9, Column 0
Rarely
Row 9, Column 1
Sometimes
Row 9, Column 2
Often
Row 9, Column 3
Always
Row 9, Column 4
Never
Row 10, Column 0
Rarely
Row 10, Column 1
Sometimes
Row 10, Column 2
Often
Row 10, Column 3
Always
Row 10, Column 4
Never
Row 11, Column 0
Rarely
Row 11, Column 1
Sometimes
Row 11, Column 2
Often
Row 11, Column 3
Always
Row 11, Column 4
Never
Row 12, Column 0
Rarely
Row 12, Column 1
Sometimes
Row 12, Column 2
Often
Row 12, Column 3
Always
Row 12, Column 4
Never
Row 13, Column 0
Rarely
Row 13, Column 1
Sometimes
Row 13, Column 2
Often
Row 13, Column 3
Always
Row 13, Column 4
Never
Row 14, Column 0
Rarely
Row 14, Column 1
Sometimes
Row 14, Column 2
Often
Row 14, Column 3
Always
Row 14, Column 4
1 of 15
7
How often do you experience the following symptoms around contamination?* This field is required.
Never
Rarely
Sometimes
Often
Always
I am overly concerned with cleanliness and not becoming contaminated
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I worry that I am going spread some kind of disease on to the people I care about
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
I often feel inner disgust, or a sense of 'yuckiness'
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I use different clothes for different things, such as indoor and outdoor clothes
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
I change my clothes several times a day
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
I spend a lot of time washing or cleaning, such as excessive shower routines or hand washing
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
My washing follows a certain routine, which I feel I have to get 'just right'
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
I worry about coming into contact with bodily fluids, such as blood, semen, urine and vomit
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
I worry about coming into contact with dog poo
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
Row 8, Column 4
I worry about contracting HIV, or some other infectious disease
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
Row 9, Column 4
I avoid certain places, or going outside altogether as to not feel contaminated
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Row 10, Column 3
Row 10, Column 4
I seek reassurance from friends and family
Row 11, Column 0
Row 11, Column 1
Row 11, Column 2
Row 11, Column 3
Row 11, Column 4
I am overly concerned with cleanliness and not becoming contaminated
I worry that I am going spread some kind of disease on to the people I care about
I often feel inner disgust, or a sense of 'yuckiness'
I use different clothes for different things, such as indoor and outdoor clothes
I change my clothes several times a day
I spend a lot of time washing or cleaning, such as excessive shower routines or hand washing
My washing follows a certain routine, which I feel I have to get 'just right'
I worry about coming into contact with bodily fluids, such as blood, semen, urine and vomit
I worry about coming into contact with dog poo
I worry about contracting HIV, or some other infectious disease
I avoid certain places, or going outside altogether as to not feel contaminated
I seek reassurance from friends and family
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
Never
Row 3, Column 0
Rarely
Row 3, Column 1
Sometimes
Row 3, Column 2
Often
Row 3, Column 3
Always
Row 3, Column 4
Never
Row 4, Column 0
Rarely
Row 4, Column 1
Sometimes
Row 4, Column 2
Often
Row 4, Column 3
Always
Row 4, Column 4
Never
Row 5, Column 0
Rarely
Row 5, Column 1
Sometimes
Row 5, Column 2
Often
Row 5, Column 3
Always
Row 5, Column 4
Never
Row 6, Column 0
Rarely
Row 6, Column 1
Sometimes
Row 6, Column 2
Often
Row 6, Column 3
Always
Row 6, Column 4
Never
Row 7, Column 0
Rarely
Row 7, Column 1
Sometimes
Row 7, Column 2
Often
Row 7, Column 3
Always
Row 7, Column 4
Never
Row 8, Column 0
Rarely
Row 8, Column 1
Sometimes
Row 8, Column 2
Often
Row 8, Column 3
Always
Row 8, Column 4
Never
Row 9, Column 0
Rarely
Row 9, Column 1
Sometimes
Row 9, Column 2
Often
Row 9, Column 3
Always
Row 9, Column 4
Never
Row 10, Column 0
Rarely
Row 10, Column 1
Sometimes
Row 10, Column 2
Often
Row 10, Column 3
Always
Row 10, Column 4
Never
Row 11, Column 0
Rarely
Row 11, Column 1
Sometimes
Row 11, Column 2
Often
Row 11, Column 3
Always
Row 11, Column 4
1 of 12
8
How often do you experience the following symptoms around checking and counting?* This field is required.
Never
Rarely
Sometimes
Often
Always
I feel like I need to go back and check certain things, like locks, car doors and electrical appliances
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I perform specific numbers of checks, or perform the checks until it feels 'just right'
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
I worry that if I don't perform my checks, then something terrible is going to happen like my house burning down or causing the death of another person
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I sometimes get stuck in certain places, like door thresholds or walking up and down stairs
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
I seek reassurance from others that I have checked something enough
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
I replay checks, and other events mentally to reassure myself
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
I avoid doing certain things altogether, as I know they would involve extensive checks which could become very time consuming
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
I notice that my checks are worse either in the morning or evening, or when leaving somewhere where I cannot easily go back to
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
I worry that I am going to throw something important away, such as money or an expensive piece of jewellery
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
Row 8, Column 4
I feel distressed, anxious, sad or empty when I think of throwing things away
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
Row 9, Column 4
I feel like I need to go back and check certain things, like locks, car doors and electrical appliances
I perform specific numbers of checks, or perform the checks until it feels 'just right'
I worry that if I don't perform my checks, then something terrible is going to happen like my house burning down or causing the death of another person
I sometimes get stuck in certain places, like door thresholds or walking up and down stairs
I seek reassurance from others that I have checked something enough
I replay checks, and other events mentally to reassure myself
I avoid doing certain things altogether, as I know they would involve extensive checks which could become very time consuming
I notice that my checks are worse either in the morning or evening, or when leaving somewhere where I cannot easily go back to
I worry that I am going to throw something important away, such as money or an expensive piece of jewellery
I feel distressed, anxious, sad or empty when I think of throwing things away
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
Never
Row 3, Column 0
Rarely
Row 3, Column 1
Sometimes
Row 3, Column 2
Often
Row 3, Column 3
Always
Row 3, Column 4
Never
Row 4, Column 0
Rarely
Row 4, Column 1
Sometimes
Row 4, Column 2
Often
Row 4, Column 3
Always
Row 4, Column 4
Never
Row 5, Column 0
Rarely
Row 5, Column 1
Sometimes
Row 5, Column 2
Often
Row 5, Column 3
Always
Row 5, Column 4
Never
Row 6, Column 0
Rarely
Row 6, Column 1
Sometimes
Row 6, Column 2
Often
Row 6, Column 3
Always
Row 6, Column 4
Never
Row 7, Column 0
Rarely
Row 7, Column 1
Sometimes
Row 7, Column 2
Often
Row 7, Column 3
Always
Row 7, Column 4
Never
Row 8, Column 0
Rarely
Row 8, Column 1
Sometimes
Row 8, Column 2
Often
Row 8, Column 3
Always
Row 8, Column 4
Never
Row 9, Column 0
Rarely
Row 9, Column 1
Sometimes
Row 9, Column 2
Often
Row 9, Column 3
Always
Row 9, Column 4
1 of 10
9
How often do you experience the following symptoms around religion and scrupulosity?* This field is required.
Never
Rarely
Sometimes
Often
Always
I worry that I may commit a sin, which will never be understood or forgiven
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I feel intense guilt, like I have done something to offend God
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
I pray, or confess to try and be forgiven
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I experience intrusive images or words of a blasphemous nature
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
These intrusive thoughts make me feel anxious, hopeless or depressed
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
I spend a lot of time in my head trying to neutralise or get rid of such distressing thoughts
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
I avoid certain places that make the thoughts worse, such as religious buildings, books and imagery
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
I seek reassurance from the family, friends, or the internet to make myself feel better
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
I worry that I may commit a sin, which will never be understood or forgiven
I feel intense guilt, like I have done something to offend God
I pray, or confess to try and be forgiven
I experience intrusive images or words of a blasphemous nature
These intrusive thoughts make me feel anxious, hopeless or depressed
I spend a lot of time in my head trying to neutralise or get rid of such distressing thoughts
I avoid certain places that make the thoughts worse, such as religious buildings, books and imagery
I seek reassurance from the family, friends, or the internet to make myself feel better
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
Never
Row 3, Column 0
Rarely
Row 3, Column 1
Sometimes
Row 3, Column 2
Often
Row 3, Column 3
Always
Row 3, Column 4
Never
Row 4, Column 0
Rarely
Row 4, Column 1
Sometimes
Row 4, Column 2
Often
Row 4, Column 3
Always
Row 4, Column 4
Never
Row 5, Column 0
Rarely
Row 5, Column 1
Sometimes
Row 5, Column 2
Often
Row 5, Column 3
Always
Row 5, Column 4
Never
Row 6, Column 0
Rarely
Row 6, Column 1
Sometimes
Row 6, Column 2
Often
Row 6, Column 3
Always
Row 6, Column 4
Never
Row 7, Column 0
Rarely
Row 7, Column 1
Sometimes
Row 7, Column 2
Often
Row 7, Column 3
Always
Row 7, Column 4
1 of 8
10
How often do you experience the following symptoms around perfectionism?* This field is required.
Never
Rarely
Sometimes
Often
Always
I feel like no matter what I do, nothing is ever good enough
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I hardly feel satisfied with my achievements
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
I see the flaws in everything I do
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I procrastinate and avoid starting tasks, as they feel like an uphill struggle
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
I feel like there is a right way to do things
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
I have very high moral expectations of both myelf and others
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
I experience intrusive negative thoughts about others, which can be of a cynical nature
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
I spend a lot of time in my head, trying to work out the best way of doing things
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
I feel like no matter what I do, nothing is ever good enough
I hardly feel satisfied with my achievements
I see the flaws in everything I do
I procrastinate and avoid starting tasks, as they feel like an uphill struggle
I feel like there is a right way to do things
I have very high moral expectations of both myelf and others
I experience intrusive negative thoughts about others, which can be of a cynical nature
I spend a lot of time in my head, trying to work out the best way of doing things
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
Never
Row 3, Column 0
Rarely
Row 3, Column 1
Sometimes
Row 3, Column 2
Often
Row 3, Column 3
Always
Row 3, Column 4
Never
Row 4, Column 0
Rarely
Row 4, Column 1
Sometimes
Row 4, Column 2
Often
Row 4, Column 3
Always
Row 4, Column 4
Never
Row 5, Column 0
Rarely
Row 5, Column 1
Sometimes
Row 5, Column 2
Often
Row 5, Column 3
Always
Row 5, Column 4
Never
Row 6, Column 0
Rarely
Row 6, Column 1
Sometimes
Row 6, Column 2
Often
Row 6, Column 3
Always
Row 6, Column 4
Never
Row 7, Column 0
Rarely
Row 7, Column 1
Sometimes
Row 7, Column 2
Often
Row 7, Column 3
Always
Row 7, Column 4
1 of 8
11
How often do you experience the following symptoms around 'magical thinking?'* This field is required.
Never
Rarely
Sometimes
Often
Always
I worry my thoughts can make things come true
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I believe in concepts like the 'law of attraction' and 'karma'
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
I worry that my thoughts mean something about me as a person
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I believe thoughts are important
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
I worry that people can hear my thoughts as they are so loud
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
I feel like some numbers are 'lucky' or 'good', whereas others don't feel right
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
I worry my thoughts can make things come true
I believe in concepts like the 'law of attraction' and 'karma'
I worry that my thoughts mean something about me as a person
I believe thoughts are important
I worry that people can hear my thoughts as they are so loud
I feel like some numbers are 'lucky' or 'good', whereas others don't feel right
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
Never
Row 3, Column 0
Rarely
Row 3, Column 1
Sometimes
Row 3, Column 2
Often
Row 3, Column 3
Always
Row 3, Column 4
Never
Row 4, Column 0
Rarely
Row 4, Column 1
Sometimes
Row 4, Column 2
Often
Row 4, Column 3
Always
Row 4, Column 4
Never
Row 5, Column 0
Rarely
Row 5, Column 1
Sometimes
Row 5, Column 2
Often
Row 5, Column 3
Always
Row 5, Column 4
1 of 6
12
How often do you experience the following symptoms around 'false memories'* This field is required.
Never
Rarely
Sometimes
Often
Always
I worry that my thoughts are actually repressed memories
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I pick up new worries depending what I hear, such as thinking that I could have committed a crime after hearing about it on the news
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
I get confused between my thoughts and reality
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I worry that my thoughts are actually repressed memories
I pick up new worries depending what I hear, such as thinking that I could have committed a crime after hearing about it on the news
I get confused between my thoughts and reality
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
1 of 3
13
How often do you experience the following symptoms around purely obsessional OCD (Pure O)
Never
Rarely
Sometimes
Often
Always
I struggle to get out of my head, and spend vast amounts of time 'stewing' things over
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I feel the need to neutralise certain unwanted thoughts and replace them with different ones
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
I spend time organising my thoughts and putting them in order
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I feel the urge to work things out un my head, like the answer to a specific question
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
I spend a lot of time thinking about existential aspects of life, such as the meaning of life or the universe
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
I struggle to get out of my head, and spend vast amounts of time 'stewing' things over
I feel the need to neutralise certain unwanted thoughts and replace them with different ones
I spend time organising my thoughts and putting them in order
I feel the urge to work things out un my head, like the answer to a specific question
I spend a lot of time thinking about existential aspects of life, such as the meaning of life or the universe
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
Never
Row 3, Column 0
Rarely
Row 3, Column 1
Sometimes
Row 3, Column 2
Often
Row 3, Column 3
Always
Row 3, Column 4
Never
Row 4, Column 0
Rarely
Row 4, Column 1
Sometimes
Row 4, Column 2
Often
Row 4, Column 3
Always
Row 4, Column 4
1 of 5
14
How often do you experience the following symptoms around symmetry and orderliness?* This field is required.
Never
Rarely
Sometimes
Often
Always
I spend time lining things up until they are 'just so'
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I become overly concerned with things having their own place within my home or work space
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
I get anxious if something is out of place
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I like things to feel balanced and equal
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
I spend time lining things up until they are 'just so'
I become overly concerned with things having their own place within my home or work space
I get anxious if something is out of place
I like things to feel balanced and equal
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
Never
Row 3, Column 0
Rarely
Row 3, Column 1
Sometimes
Row 3, Column 2
Often
Row 3, Column 3
Always
Row 3, Column 4
1 of 4
15
How often do you experience the following symptoms around health related worries and concerns?* This field is required.
Never
Rarely
Sometimes
Often
Always
I worry that any small pain in my body could be something far more serious
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I am hyper aware of my body, especially any new aches or pains
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
I spend time researching symptoms online, trying to work out the cause of the sensations I experience
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I seek reassurance from friends and family about my health related symptoms
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
I call the doctor or 111 for reassurance
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
I go for tests at the doctors or hospital for reassurance
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
I spend a lot of time in my head trying to work out my symptoms and possible causes
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
I have intrusive and disturbing images in my head around poor health or death
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
I avoid doing anything that could cause harm to my body, or make my perceived health symptoms worse
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
Row 8, Column 4
I worry that any small pain in my body could be something far more serious
I am hyper aware of my body, especially any new aches or pains
I spend time researching symptoms online, trying to work out the cause of the sensations I experience
I seek reassurance from friends and family about my health related symptoms
I call the doctor or 111 for reassurance
I go for tests at the doctors or hospital for reassurance
I spend a lot of time in my head trying to work out my symptoms and possible causes
I have intrusive and disturbing images in my head around poor health or death
I avoid doing anything that could cause harm to my body, or make my perceived health symptoms worse
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
Never
Row 3, Column 0
Rarely
Row 3, Column 1
Sometimes
Row 3, Column 2
Often
Row 3, Column 3
Always
Row 3, Column 4
Never
Row 4, Column 0
Rarely
Row 4, Column 1
Sometimes
Row 4, Column 2
Often
Row 4, Column 3
Always
Row 4, Column 4
Never
Row 5, Column 0
Rarely
Row 5, Column 1
Sometimes
Row 5, Column 2
Often
Row 5, Column 3
Always
Row 5, Column 4
Never
Row 6, Column 0
Rarely
Row 6, Column 1
Sometimes
Row 6, Column 2
Often
Row 6, Column 3
Always
Row 6, Column 4
Never
Row 7, Column 0
Rarely
Row 7, Column 1
Sometimes
Row 7, Column 2
Often
Row 7, Column 3
Always
Row 7, Column 4
Never
Row 8, Column 0
Rarely
Row 8, Column 1
Sometimes
Row 8, Column 2
Often
Row 8, Column 3
Always
Row 8, Column 4
1 of 9
16
How often do you experience the following symptoms around harming and/or sexually abusing minors?* This field is required.
Never
Rarely
Sometimes
Often
Always
I worry that deep down I am attracted to children
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I experience intrusive thoughts around harming/abusing those that are vulnerable, including children and the elderly
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
These intrusions make me feel anxiety and guilt
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I worry that sometimes these are 'urges' rather than intrusive experiences
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
I experience the groinal response (perceived arousal in the genital area, more accurately linked with anxious symptoms)
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
I spend time checking my levels of arousal in certain situations as an attempt to reassure myself
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
I seek reassurance from my friends and family members that I am not attracted to children
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
I avoid being around children, or anything associated with children such as toys, schools or particular shops
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
I spend time in my head replaying situations to try and reassure myself
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
Row 8, Column 4
I try to replace intrusive images with different ones, such as an intrusive image of a chid with the image of an adult, for example
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
Row 9, Column 4
I worry that deep down I am attracted to children
I experience intrusive thoughts around harming/abusing those that are vulnerable, including children and the elderly
These intrusions make me feel anxiety and guilt
I worry that sometimes these are 'urges' rather than intrusive experiences
I experience the groinal response (perceived arousal in the genital area, more accurately linked with anxious symptoms)
I spend time checking my levels of arousal in certain situations as an attempt to reassure myself
I seek reassurance from my friends and family members that I am not attracted to children
I avoid being around children, or anything associated with children such as toys, schools or particular shops
I spend time in my head replaying situations to try and reassure myself
I try to replace intrusive images with different ones, such as an intrusive image of a chid with the image of an adult, for example
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
Never
Row 3, Column 0
Rarely
Row 3, Column 1
Sometimes
Row 3, Column 2
Often
Row 3, Column 3
Always
Row 3, Column 4
Never
Row 4, Column 0
Rarely
Row 4, Column 1
Sometimes
Row 4, Column 2
Often
Row 4, Column 3
Always
Row 4, Column 4
Never
Row 5, Column 0
Rarely
Row 5, Column 1
Sometimes
Row 5, Column 2
Often
Row 5, Column 3
Always
Row 5, Column 4
Never
Row 6, Column 0
Rarely
Row 6, Column 1
Sometimes
Row 6, Column 2
Often
Row 6, Column 3
Always
Row 6, Column 4
Never
Row 7, Column 0
Rarely
Row 7, Column 1
Sometimes
Row 7, Column 2
Often
Row 7, Column 3
Always
Row 7, Column 4
Never
Row 8, Column 0
Rarely
Row 8, Column 1
Sometimes
Row 8, Column 2
Often
Row 8, Column 3
Always
Row 8, Column 4
Never
Row 9, Column 0
Rarely
Row 9, Column 1
Sometimes
Row 9, Column 2
Often
Row 9, Column 3
Always
Row 9, Column 4
1 of 10
17
How often do you experience the following symptoms around your sexual orientation?* This field is required.
Never
Rarely
Sometimes
Often
Always
I worry that I am gay
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
I worry that I am lying to myself, and my partner and should not be in my current relationship
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
I feel guilty towards my partner for feeling like this
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
I avoid being intimate as it makes me anxious
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
I seek reassurance from my friends and family
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
I spend time researching and trying to work out my sexual orientation
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
I spend lots of time in my head trying to work out my sexual orientation
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
I worry that I am gay
I worry that I am lying to myself, and my partner and should not be in my current relationship
I feel guilty towards my partner for feeling like this
I avoid being intimate as it makes me anxious
I seek reassurance from my friends and family
I spend time researching and trying to work out my sexual orientation
I spend lots of time in my head trying to work out my sexual orientation
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Sometimes
Row 0, Column 2
Often
Row 0, Column 3
Always
Row 0, Column 4
Never
Row 1, Column 0
Rarely
Row 1, Column 1
Sometimes
Row 1, Column 2
Often
Row 1, Column 3
Always
Row 1, Column 4
Never
Row 2, Column 0
Rarely
Row 2, Column 1
Sometimes
Row 2, Column 2
Often
Row 2, Column 3
Always
Row 2, Column 4
Never
Row 3, Column 0
Rarely
Row 3, Column 1
Sometimes
Row 3, Column 2
Often
Row 3, Column 3
Always
Row 3, Column 4
Never
Row 4, Column 0
Rarely
Row 4, Column 1
Sometimes
Row 4, Column 2
Often
Row 4, Column 3
Always
Row 4, Column 4
Never
Row 5, Column 0
Rarely
Row 5, Column 1
Sometimes
Row 5, Column 2
Often
Row 5, Column 3
Always
Row 5, Column 4
Never
Row 6, Column 0
Rarely
Row 6, Column 1
Sometimes
Row 6, Column 2
Often
Row 6, Column 3
Always
Row 6, Column 4
1 of 7
18
Assessment ScoreThank you for completing the self assessment. Scores: 0-125 (unlikely to have OCD) 126-250 (indicates mild symptoms of OCD) 251-375 (indicates moderate OCD symptoms) 376-500 (indicates acute symptoms of OCD)
19
Please remember that regardless of your score, OCD is a very treatable condition. We have been there, we have recovered, and we would love to show you how! If you would like to find out more about how we can help, our different treatment options and the costs involved, please provide your email address so we can get in touch* This field is required.
example@example.com
20
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First Name
Last Name
21
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Area Code
Phone Number
22
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YESNO
23
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