Yale-Brown Obsessive Compulsive Scale (Y-BOCS)

Check all symptoms that you are experiencing or have experienced at least once in the recent past.

Aggressive Thoughts, Fears or Images: Fear I might harm myself

Aggressive Thoughts, Fears or Images: Fear I might harm others

Aggressive Thoughts, Fears or Images: Violent or horrific images

Aggressive Thoughts, Fears or Images: Fear of blurting out obscenities or insults

Aggressive Thoughts, Fears or Images: Fear of doing something else embarrassing

Aggressive Thoughts, Fears or Images: Fear I will act on unwanted impulses (e.g., stab a friend)

Aggressive Thoughts, Fears or Images: Fear I will steal things

Aggressive Thoughts, Fears or Images: Fear I will harm others because not careful enough (e.g., hit/run accident)

Aggressive Thoughts, Fears or Images: Fear of being responsible for something else terrible happening (e.g., fire, burglary)

Aggressive Thoughts, Fears or Images: Other aggressive thought(s)

Contamination Concerns: Concerns or disgust with bodily waste or secretions (e.g., urine, feces, saliva)

Contamination Concerns: Concern with dirt or germs

Contamination Concerns: Excessive concern with of environmental contaminants (e.g., asbestos, radiation, toxic waste)

Contamination Concerns: Excessive concern with household items (e.g., cleansers, solvents)

Contamination Concerns: Excessive concern with animals (e.g., insects)

Contamination Concerns: Bothered by sticky substances or residues

Contamination Concerns: Concerned I will get ill because of contaminant(s)

Contamination Concerns: Concerned I will get others ill by spreading contamination

Contamination Concerns: No concern with consequences of contamination other than how it might feel

Contamination Concerns: Other contamination concerns

Sexual Thoughts: Forbidden or unacceptable sexual thoughts/images/impulses

Sexual Thoughts: Thought content involves children or incest

Sexual Thoughts: Thought content involves homosexuality

Sexual Thoughts: Thoughts of aggressive sexual behavior toward others

Sexual Thoughts: Other sexual thoughts (specify)

Hoarding/Saving Concerns: Hoarding or saving behaviors (excluding hobbies or concern with objects with monetary or sentimental value)

Hoarding/Saving Concerns: Fears of mistakenly discarding important things along with unimportant items

Religious Concerns/Scrupulosity: Excessive concern with sacrilege or blasphemy

Religious Concerns/Scrupulosity: Excessive concern with sin, right/wrong, morality

Religious Concerns/Scrupulosity: Other religious or moral concerns (specify)

Concern with Symmetry or Exactness: Accompanied by magical thinking (e.g., concerned that spouse/child/mother will have an accident unless things are in the right place)

Concern with Symmetry or Exactness: Not accompanied by magical thinking (it just feels uncomfortable)

Somatic Fears and Thoughts: Concern with having an illness or disease

Somatic Fears and Thoughts: Excessive concern with body part(s) or my appearance

Somatic Fears and Thoughts: Other body-related concerns (specify)

Miscellaneous Thoughts and Concerns: Need to know or remember

Miscellaneous Thoughts and Concerns: Fear of saying certain things

Miscellaneous Thoughts and Concerns: Fear of not saying just the right thing

Miscellaneous Thoughts and Concerns: Fear of losing things

Miscellaneous Thoughts and Concerns: Intrusive non-violent images

Miscellaneous Thoughts and Concerns: Intrusive nonsense sounds, words, or music

Miscellaneous Thoughts and Concerns: I'm very bothered by certain sounds/noises

Miscellaneous Thoughts and Concerns: Concern with lucky/unlucky numbers

Miscellaneous Thoughts and Concerns: Colors with special significance

Miscellaneous Thoughts and Concerns: Superstitious fears

Miscellaneous Thoughts and Concerns: Other concerns (specify)

Cleaning/Washing Concerns: Excessive or repetitive hand washing

Cleaning/Washing Concerns: Excessive or repetitive showering, bathing, tooth brushing, grooming, or toilet routines

Cleaning/Washing Concerns: Excessive cleaning of household items or other objects (e.g., glasses, cell phone)

Cleaning/Washing Concerns: Excessive measures to prevent or remove contact with contaminants

Cleaning/Washing Concerns: Other cleaning behaviors (specify)

Checking Behaviors: Checking locks, stoves, appliances, etc.

Checking Behaviors: Checking that I did not/will not harm others

Checking Behaviors: Checking that I did not/will not harm myself

Checking Behaviors: Checking that nothing terrible did/will happen

Checking Behaviors: Checking that I did not make mistakes

Checking Behaviors: Checking tied to concerns about my body or appearance

Checking Behaviors: Other checking behaviors (specify)

Repeating Behaviors: Re-reading or re-writing multiple times

Repeating Behaviors: Need to repeat routine activities (in/out the door, up/down the chair)

Repeating Behaviors: Other repeating behaviors (specify)

Counting Concerns: Repetitive counting

Ordering/Arranging Behaviors: Unavoidable ordering or arranging

Hoarding & Collecting Behaviors: Unavoidable hoarding or collecting (e.g., I carefully read junk mail, pile up old newspapers, sort through garbage, collect useless objects.)

Repetitive Mental Patterns: I use special words, images, numbers, repeated mentally to push away other thoughts or images.

Repetitive Mental Patterns: I say special prayers (short and long) repeated in a set manner (e.g. \"God is good\") to push away other thoughts or images

Repetitive Mental Patterns: Mental counting

Repetitive Mental Patterns: Mental (silent and unwritten) list making

Repetitive Mental Patterns: Mental reviewing (e.g., reviewing conversations)

Repetitive Mental Patterns: Other mental patterns (specify)

Miscellaneous Repetitive Behaviors: Excessive list making (in writing or talking aloud)

Miscellaneous Repetitive Behaviors: I have urges to ask, tell, or confess

Miscellaneous Repetitive Behaviors: I have urges to touch, tap, or rub

Miscellaneous Repetitive Behaviors: I have urges involving blinking or staring

Miscellaneous Repetitive Behaviors: I try hard to prevent harm to self or others, or to prevent terrible consequences

Miscellaneous Repetitive Behaviors: I have certain repetitive eating behaviors

Miscellaneous Repetitive Behaviors: Superstitious behaviors

Miscellaneous Repetitive Behaviors: Hair pulling

Miscellaneous Repetitive Behaviors: Skin picking

Miscellaneous Repetitive Behaviors: Other repetitive behaviors: (specify)