| 1. Do you ever catch yourself continuously washing your hands or constantly cleaning the house and vacuuming even when no dirt is visually seen? |
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| 2. Do you sometimes find yourself going through your trash inspecting to see if anything important has been thrown out by accident? |
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| 3. Do you often forget to set the alarm at your home before going to sleep at night? |
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| 4. Does your longing for things to be symmetrical often lead to your time being preoccupied by aligning items such as papers, books, etc. in a certain "perfect" way? |
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| 5. When bad thoughts arise in your head, do you sometimes feel as though you will be punished for having them? Or after having these bad thoughts, does a silent prayer often follow in an attempt to make these bad thoughts go away? |
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| 6. Before leaving the house, do you often worry that others will react negatively to your appearance? |
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| 7. When eating, do you sometimes catch yourself making sure that every bite is the same size or see yourself eating a certain amount of bites? |
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| 8. Do you ever refrain from using certain colors, numbers, or letters because they are negative or may be unlucky? |
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| 9. As a person, do you consider yourself more of a perfectionist or more laid back? |
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| 10. Do thoughts that you failed to complete a routine task such as filling out a form, paying a bill, or posting a letter ever arise in your head? |
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| 11. Do you find yourself repeatedly checking to see if something is safely closed or turned off, such as going back several times to check if the door is securely closed or electrical appliances turned off? |
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| 12. Do you often ask for reassurance from a person that you trust? |
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| 13. Have you been bothered by unpleasant thoughts or images of death or other horrible events that repeatedly enter you mind? |
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| 14. Have you ever worried a lot about terrible things happening, such as harm coming to a loved one because you weren`t careful enough? |
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