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Repetitive Thoughts and Behaviours Scale (Children 11-17)

You can respond anonymously, and no data will be retained from this assessment. If you choose to include your initials and an email address, your results will be automatically sent to the email address provided. Please check that the email address has been entered correctly before submitting this form. All client information is managed on a strictly confidential basis. Please Note: Whilst every effort is made to ensure that our system is securely encrypted, email is not a completely secure means of communication. Think CBT does not accept liability for loss or theft of personal data where any individual chooses to transmit or receive information via email.

Send my assessment results by email:

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Initials:

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Instructions

The following assessment is designed to identify how repetitive thoughts and behaviours are currently interfering in your daily life. Please answer the following questions as accurately and honestly as possible.

1.On average, how much time is occupied by these thoughts or behaviours each day?

None
Mild - less than an hour a day
Moderate - (1 to 3 hours a day)
Severe - (3 to 8 hours a day)
Extreme - (more than 8 hours a day)

2. How much do they bother you?

None
Mild (slightly upsetting)
Moderate (upsetting but still manageable)
Severe (very upsetting)
Extreme (overwhelming distress)

3. How hard is it for you to control them?

Complete control
Much control (usually able to control thoughts or behaviours)
Moderate control (sometimes able to control thoughts or behaviours)
Little control (not usually able to control thoughts or behaviours)
No control (unable to control thoughts or behaviours)

4. How much do they cause you to avoid doing things, going places or being with people?

No avoidance
Mild (occasionally avoids things)
Moderate (regularly avoids doing these things)
Severe (frequently avoids these things)
Extreme (nearly complete avoidance; can't leave the house)

5. How much do they cause you to avoid doing things, going places or being with people?

None
Mild (slight interference)
Moderate (definite interference with functioning, but can still manage)
Severe (substantial interference)
Extreme (near total interference)

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