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OCD Symptom Likeness Questionnaire
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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Obsessive Compulsive Disorder (OCD) Survey
1
How often do you feel compelled to perform certain behaviors (e.g. counting, checking, cleaning) to alleviate anxiety?
Choose the option that best describes your experience.
Never
Rarely
Sometimes
Often
Always
2
To what extent do OCD symptoms interfere with your daily life and activities?
Rate the interference level on a scale of 1 to 10.
3
Describe your thoughts and behaviors related to recurring fears or doubts in a few sentences.
Provide a brief description of your experiences.
4
How much time do you spend on repetitive thoughts or behaviors each day?
Choose the closest estimate based on your daily routine.
Less than 1 hour
1-3 hours
3-5 hours
More than 5 hours
5
Rate the level of distress or discomfort you feel if you're unable to perform compulsive behaviors.
Select the option that best reflects your emotional response.
No distress
Mild distress
Moderate distress
Severe distress
Extreme distress
6
Do you frequently seek reassurance from others to alleviate anxiety related to obsessive thoughts?
Choose the response that aligns with your behavior.
Never
Rarely
Sometimes
Often
Always
7
Rate the level of control you feel over your obsessive thoughts and compulsive behaviors.
Indicate how much control you believe you have over these thoughts and actions.
8
How often do you experience intrusive thoughts that you find disturbing or distressing?
Select the frequency that matches your experiences.
Never
Rarely
Sometimes
Often
Always
9
Describe any specific rituals or compulsions you engage in to alleviate anxiety.
Provide details about the behaviors you engage in due to obsessive thoughts.
10
Rate the level of difficulty you experience in resisting the urge to perform compulsive behaviors.
Rate the level of difficulty in controlling compulsions on a scale of 1 to 10.
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Obsessive Compulsive Disorder (OCD) Survey
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