Obsessive-Compulsive Disorder Scale
Please answer as honestly as you can.
Name
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First Name
Last Name
Date Completed:
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Month
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Day
Year
Date
Email:
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example@example.com
Check the answer that best applies to you.
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Yes
No
Do you have unwanted ideas, images, or impulses that seem silly, nasty or horrible?
Do you worry excessively about dirt, germs, or chemicals?
Are you constantly worried that something bad will happen because you forgot something important, like locking the door or turning off appliances?
Do you experience shortness of breath?
Are you afraid you will act or speak aggressively when you really don't want to?
Are you always afraid you will lose something of importance?
Do you ever experience "jelly" legs?
Do you have trouble falling or staying asleep, or have restless and unsatisfying sleep?
Are there things you feel you must do excessively or thoughts you must think repeatedly to feel comfortable or ease anxiety?
Do you wash yourself or things around you excessively?
Do you have to check things over and over or repeat actions may times to be sure they are done properly?
Do you avoid situations or people you worry about hurting by aggressive words or actions?
Do you keep many useless things because you feel that you can't throw them away?
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