CeHOCS - Obsessive Compulsive Score-Baseline
The Children's e-Hospital Obsessive Compulsive Scoring Matrix is designed to allow us to measure your child's obsessions and compulsions and see the response to treatment. The matrix is based on the Children's Yale-Brown Obsessive Compulsive Scale.
Children's e-Hospital Identity Number *
Your Child's Name *
I consent to the infromation on this form being used to assist the treatment of my child *
I consent to the information on this form being used for research and publication purposes (anonymised data)
Background Information
This scale is designed to rate the severity of obsessive and compulsive symptoms in children and adolescents, ages 6-17 years. Rate the characteristics of each item for the past week leading up to, and including, the time of completing this questionnaire. Answers should reflect the average of each item for the entire week, unless otherwise specified.

We are looking to evaluate your child's obsessions and compulsions.

Obsessions are thoughts, ideas or pictures that keep coming into your mind even though you do not want them to. They may be unpleasant, silly or embarrassing. An example of an obsession could be the repeated thought that germs or dirt are harming you or other people, or that something unpleasant might happen to you or someone in your family or someone special to you. These are thoughts that keep coming back, over and over again.

Compulsions are things that you feel you have to do although you may know that they do not make sense. Sometimes you may try to stop from doing them but this might not be possible. You might feel worried or angry or frustrated until you have finished what you have to do. An example of a compulsion could be the need to wash your hands over and over again even though they are not really dirty, or the need to count up to a certain number while you do certain things.
CeHOCS Obsessions Checklist
Please look at the list of obsessions below and tick all items that apply to your child.
Contamination Obsessions *
Required
Contamination Obsessions Other Information
Aggressive Obsessions *
Required
Aggressive Obsessions Other Information
Sexual Obsessions - Are you having any sexual thoughts? If yes, are they routine or are they repetitive thoughts that you would rather not have and find disturbing? If yes, are they: *
Required
Sexual Obsessions Other Information
Hoarding/Saving Obsessions *
Required
Hoarding/Saving Obsessions Other Information
Magical Thoughts/Superstitious Obsessions *
Required
Magical Thoughts/Superstitious Obsessions Other Information
Somatic Obsessions *
Required
Somatic Obsessions Other Information
Religious Obsessions (Scrupulosity) *
Required
Religious Obsessions Other Information
Miscellaneous Obsessions *
Required
Miscellaneous Obsessions Other Information
Target Symptom List for Obsessions
Please list your child's obsessive symptoms by order of severity, with 1 being the most severe, 2 the second most severe, etc.
Please list *
The following questions on obsessions will help us measure how severe your child's obsessions are. There are 5 questions on obsessions followed by 5 questions on compulsions.
The following questions are about the thoughts you are unable to stop thinking about, as detailed in the Target Symptom List.
1a. Time Occupied by Obsessive Thoughts
How much time does your child spend thinking about these things?
Please select as appropriate *
Required
1b. Obsession-free Interval (not included in total score)
On average, what is the longest amount of time per day that your child is not bothered by obsessive thoughts?
Please select as appropriate *
Required
2. Interference due to Obsessive Thoughts
Please consider how much these thoughts get in the way of school or doing things with friends? Is there anything that your child can't do because of them?

If currently not in school determine how much performance would be affected if your child were in school.
Please select as appropriate *
Required
3. Distress Associated with Obsessive Thoughts
How much do these thoughts bother or upset your child?
Please select as appropriate *
Required
4. Resistance Against Obsessions
How hard does your child try to stop the thoughts or ignore them?
Please select as appropriate *
Required
5. Degree of Control Over Obsessive Thoughts
When your child tries to fight the thoughts, can they beat them? How much control do they have over their thoughts?
Please select as appropriate *
Required
CeHOCS Compulsions Checklist
Please look at the following list of compulsions and tick all the items that apply to your child.
Washing/Cleaning Compulsions *
Required
Washing/Cleaning Compulsions Other Information
Checking Compulsions *
Required
Checking Compulsions Other Information
Repeating Rituals *
Required
Repeating Rituals Other Information
Counting Compulsions *
Required
Counting Compulsions Other Information
Ordering/Arranging *
Required
Ordering/Arranging Other Information
Hoarding/Saving Compulsion *
Required
Hoarding/Saving Compulsion Other Information
Excessive Games/Superstitious Behaviours *
Required
Excessive Games/Superstitious Behaviours Other Information
Rituals Involving Other Persons *
Required
Rituals Involving Other Persons Other Information
Miscellaneous Compulsions *
Required
Miscellaneous Compulsions Other Information
Target Symptom List for Compulsions - Please list your child's compulsive symptoms by order of severity, with 1 being the most severe, 2 the second most severe, etc. *
Questions on Compulsions
The following five questions are about the compulsions your child is unable to control.
6a. Time Spent Performing Compulsive Behaviours
How much time does your child spend doing these things?
Please select as appropriate *
Required
6b. Compulsion-free Interval
How long can your child go without performing compulsive behaviour?
Please select as appropriate *
Required
7. Interference due to Compulsive Behaviours
Please consider how much these habits get in the way of school or doing things with friends? Is there anything that your child can't do because of them?

If currently not in school determine how much performance would be affected if the patient were in school.
Please select as appropriate *
Required
8. Distress Associated with Compulsive Behaviour
How would your child feel if prevented from carrying out their habits? How upset would they become?
Please select as appropriate *
9. Resistance Against Compulsions
How much does your child try to fight the habits?
Please select as appropriate *
10. Degree of Control over Compulsive Behaviour
How strong is the feeling that your child has to carry out the habit(s)? How much control do they have over the habits?
Please select as appropriate *
Your Name *
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