Tick on the thoughts that you have experienced frequently in the last 6 months.

I have repetitive thoughts or worries that I might harm myself or my loved ones.
I have disturbing, violent, or horrific images in my mind.
I fear that I will blurt out obscenities or behave inappropriately in public.
I am disgusted by bodily wastes or secretions.
I am constantly worried about coming into contact with dirt or germs.
I worry about coming in contact with chemical substances that can cause harm.
I have sexually violent thoughts, images, or impulses.
I often have thoughts or impulses that involve perverse or taboo sexual activity, even though they do not align with my personal preferences.
I have intrusive, upsetting thoughts about my sexual orientation.
I am excessively concerned with saving or keeping things for later, even if they are not very obviously useful.
I am fearful that I may act or behave in ways that would be disrespectful to God.

Tick on the thoughts that you have experienced frequently in the last 6 months.

I am frequently worried about whether my actions or behaviours are "moral."
I am excessively concerned with symmetry or "exactness" even if it is not meaningful or relevant to the task at hand.
I believe some of my thoughts, actions, and behaviours might be irrational or unreasonable.
I frequently need to check and make sure that I did not hurt or harm others in any way.
I usually re-read or re-write text until it is "perfect" even if it ends up taking me unnecessarily longer to complete the task.
I often count objects and/or count how many times I repeat certain specific activities.
I order and arrange objects in specific ways even and it is upsetting to me if the arrangement is disrupted.
I hoard or collect objects that may not specifically useful, even if it becomes inconvenient to do so.
I have secret rituals that I need to carry out in my mind (excluding checking or counting).
I need to touch, tap, or rub objects or surfaces in a specific manner.

For each of the following items, select the option represents how often you have experienced the thoughts you have ticked before

• 

  I have these thoughts

  Never

  All the time

• 

  These thoughts hamper me from doing everyday things

  Never

  All the time

• 

  My thoughts cause me distress

  Never

  All the time

• 

  I try to disregard or turn my attention away from those thoughts

  Never

  All the time

• 

  I am successful in diverting these thoughts

  Never

  All the time

• 

  I perform the behaviours mentioned above

  Never

  All the time

• 

  My compulsive behaviors interfere with my work and relationships

  Never

  All the time

• 

  I feel anxious/stressed

  Never

  All the time

• 

  I try to stop the compulsive behaviours

  Never

  All the time

• 

  I was successful in stopping the behaviours

  Never

  All the time

• 

  There are other effects besides anxiety to worry about if you resisted them

  Never

  All the time