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Obsessive-Compulsive Disorder (OCD) Pre-Screening Assessment
Please complete this pre-screening assessment to help identify symptoms of obsessive-compulsive disorder. This form is based on standard criteria and will help you understand if further professional evaluation is needed. Your responses are confidential.
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Age
*
18-24
25-34
35-44
45-54
55-64
65+
Gender
*
Male
Female
Other
Location
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Your answer
In the past month, how often have you been bothered by repeated, unwanted thoughts, images, or urges that cause anxiety or distress?
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Never
Rarely
Sometimes
Often
Always
How often have you felt driven to perform certain behaviors or mental acts in response to these thoughts or urges?
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Never
Rarely
Sometimes
Often
Always
How often have these behaviors or mental acts been aimed at preventing or reducing anxiety or distress, or preventing some feared event or situation?
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Never
Rarely
Sometimes
Often
Always
How often have these obsessions and/or compulsions taken up more than one hour per day?
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Never
Rarely
Sometimes
Often
Always
How often have these obsessions and/or compulsions caused significant distress or impaired your daily functioning?
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Never
Rarely
Sometimes
Often
Always
How often have you felt compelled to repeatedly check things (e.g., locks, appliances, etc.)?
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Never
Rarely
Sometimes
Often
Always
How often have you felt compelled to repeatedly wash or clean things?
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Never
Rarely
Sometimes
Often
Always
How often have you felt compelled to repeatedly count things or repeat actions a certain number of times?
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Never
Rarely
Sometimes
Often
Always
How often have you felt compelled to arrange things in a particular order?
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Never
Rarely
Sometimes
Often
Always
How often have you felt compelled to mentally review or repeat thoughts or phrases?
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Never
Rarely
Sometimes
Often
Always
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