Obsessive Compulsive Tendencies on Memory and Cognitive Confidence Survey

The research survey for Lauren Smith from the Rockdale Magnet School for Science and Technology


A red asterisk (*) indicates required questions.

  1. I am asking for your voluntary participation in my science fair project. By clicking yes you are confirming that you understand this data will be used for research, and is completely anonymous. *
    Yes
    No


  1. Age*
    1-15
    16-31
    32-47
    48-63
    64-79
    80-94
    95 or older


  1. Gender*
    Male
    Female


  1. Race*
    White/Caucasian
    African-American
    Hispanic
    Asian/Pacific Islander
    Native American
    Other


  1. I have a poor memory.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I expect myself to be 100% certain about the way I plan things.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I experience many doubts after making a decision.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I often doubt my memory for having completed tasks.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have little confidence in my memory generally. *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I never do well at memory tests. *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am easily distracted.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I find it difficult to make decisions on the spot.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My poor concentration interferes with my ability to plan things effectively.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have doubts about my memory. *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I don’t feel that I make good decisions. *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have difficulty keeping my mind focused on one task until it is completed.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My memory can mislead me at times.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have little confidence in my memory for actions.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am never certain about my memory.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have little confidence in my memory for words and names.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have little confidence in my ability to remember how I performed on particular tasks. *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have doubts about my decision-making ability.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I expect myself to be 100% certain about my decisions.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I often doubt my memory for having done things properly.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have difficulty knowing if I have actually done something, or imagined it. *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have poor concentration ability.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I often feel that my memory misleads me.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have little confidence in my decision-making.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have little confidence in my ability to remember what I did in particular situations.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I try so hard to remember things that I end up forgetting everything.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I put a lot of pressure on myself to do well on even small tasks.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I must perform tasks perfectly.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. (For the next group of questions, choose the response that best describes how much that experience has distressed you during the past month. Ranging from: Not at all "1", to extremely "5" ) I wash my hands more often or longer than necessary.*
    1 2 3 4 5


  1. I repeatedly check anything which might cause a fire.*
    1 2 3 4 5


  1. Even when I do something very carefully I feel that it is not quite right. *
    1 2 3 4 5


  1. I avoid throwing things away because I am afraid I might need them later.*
    1 2 3 4 5


  1. I collect things that I don’t need. *
    1 2 3 4 5


  1. I have saved up so many things that they get in the way. *
    1 2 3 4 5


  1. I often have trouble getting rid of objects that present no real significance. *
    1 2 3 4 5


  1. Before I can throw anything away I obsess about when I may need it again.*
    1 2 3 4 5


  1. I feel that there are good and bad numbers.*
    1 2 3 4 5


  1. I feel that I must repeat certain words or phrases in my mind in order to wipe out bad thoughts, feelings or actions.*
    1 2 3 4 5


  1. I get upset if others change the way I have arranged my things. *
    1 2 3 4 5


  1. Before going to sleep I have to do certain things in a certain way. *
    1 2 3 4 5


  1. I need things to be arranged in a particular order. *
    1 2 3 4 5


  1. I get upset if objects are not arranged properly. *
    1 2 3 4 5


  1. I frequently get nasty thoughts and have difficulty in getting rid of them. *
    1 2 3 4 5


  1. I am upset by unpleasant thoughts that come into my mind against my will. *
    1 2 3 4 5


  1. I find it difficult to control my own thoughts.*
    1 2 3 4 5


  1. I feel compelled to count while I am doing things.*
    1 2 3 4 5


  1. (For the next group of questions, choose the response that best describes how much that experience has distressed you during the past month. Ranging from: Strongly Agree "1", to Strongly Disagree "7" ) I often think things around me are unsafe. *
    1 2 3 4 5 6 7


  1. When I see the opportunity to do so, I must act to prevent bad things from happening. *
    1 2 3 4 5 6 7


  1. Even if harm is very unlikely, I should try to prevent it at any cost.*
    1 2 3 4 5 6 7


  1. If I don’t act when I foresee danger, then I am to blame for consequences. *
    1 2 3 4 5 6 7


  1. Avoiding serious problems (for example, illness or accidents) requires constant effort on my part.*
    1 2 3 4 5 6 7


  1. If I do not take extra precautions, I am more likely than others to have or cause a serious disaster.*
    1 2 3 4 5 6 7


  1. I am more likely than other people to accidentally cause harm to myself or to others. *
    1 2 3 4 5 6 7


  1. To me, failing to prevent disaster is as bad as causing it.*
    1 2 3 4 5 6 7


  1. Things should be perfect according to my own standards.*
    1 2 3 4 5 6 7


  1. In order to be a worthwhile person, I must be perfect at everything I do. *
    1 2 3 4 5 6 7


  1. If I can’t do something perfectly, I shouldn’t do it at all.*
    1 2 3 4 5 6 7


  1. It’s essential for me to consider all possible outcomes of a situation. *
    1 2 3 4 5 6 7


  1. I must be certain of my decisions.*
    1 2 3 4 5 6 7


  1. I should be upset if I make a mistake. *
    1 2 3 4 5 6 7


  1. For me, things are not right if they are not perfect. *
    1 2 3 4 5 6 7


  1. In order to feel safe, I have to be as prepared as possible for anything that could go wrong. *
    1 2 3 4 5 6 7


  1. For me, having bad urges is as bad as actually carrying them out. *
    1 2 3 4 5 6 7


  1. If I have aggressive thoughts or impulses about my loved ones, this means I may secretly want to hurt them. *
    1 2 3 4 5 6 7


  1. Having nasty thoughts means I am a terrible person.*
    1 2 3 4 5 6 7


  1. I should not have bizarre or disgusting thoughts. *
    1 2 3 4 5 6 7


  1. I should be able to rid my mind of unwanted thoughts. *
    1 2 3 4 5 6 7


  1. Having intrusive thoughts means I’m out of control. *
    1 2 3 4 5 6 7