OCD Checklist

DIRECTIONS: You may have a problem with obsessive-compulsive disorder (OCD) if you mark several items below.

Date of birth
Your initials

Check each of the specific worries or rituals below that apply to you

General Obsessions
Aggressive or Sexual Obsessions
Thinking and Counting Rituals
Checking and Repeating Rituals
Ordering and Cleaning Rituals
Germs, Dirt, Danger, or Contamination Rituals
Hoarding Rituals
Health and Illness Rituals

Rate the Impact of Obsessions and Rituals on Your Life

1. How much distress do your obsessions/rituals usually cause you? (0 = none; 10 = intense):
2. How often or how much do your thoughts or rituals interfere with social or work functioning?

*Checklist was adapted from the questionnaire in Stop Obsessing! by Edna Foa and Reid Wilson (Bantam, 1991).