Obsessive-Compulsive Disorder Symptom Checklist and Scoring
Please complete this form to help assess the presence and severity of OCD symptoms. Your responses are confidential and will support an accurate evaluation.
Full Name
*
First Name
Last Name
Age
*
Gender
*
Male
Female
Non-binary
Prefer not to say
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
OCD Symptom Checklist
*
Rows
Never
Rarely
Sometimes
Often
Very Often
Excessive washing or cleaning
1
2
3
4
5
Repeated checking (locks, appliances, etc.)
6
7
8
9
10
Intrusive thoughts or images
11
12
13
14
15
Need for symmetry or exactness
16
17
18
19
20
Compulsive counting or ordering
21
22
23
24
25
Hoarding items
26
27
28
29
30
Repeatedly seeking reassurance
31
32
33
34
35
Avoiding certain places or situations
36
37
38
39
40
Ritualistic behaviors (e.g., repeating actions)
41
42
43
44
45
Distress when routines are disrupted
46
47
48
49
50
How much do these symptoms interfere with your daily life?
*
Not at all
1
2
3
4
5
6
7
8
9
Extremely
10
1 is Not at all, 10 is Extremely
Have you previously been diagnosed with OCD?
*
Yes
No
Are you currently receiving treatment for OCD?
*
Yes
No
Please describe any additional symptoms or concerns you would like to share.
Submit Assessment
Should be Empty: