1.
Does
the
patient
pace
around
the
house
without
apparent
purpose?
Yes No
2.
Does
the
patient
rummage
around
opening
and
unpacking
drawers
or
closets?
Yes No
3.
Does
the
patient
repeatedly
put
on
and
take
off
clothing?
Yes No
4.
Does
the
patient
have
repetitive
activities
or
“habits”
that
he/she
performs
over
and
over?
Yes No
5.
Does
the
patient
engage
in
repetitive
activities
such
as
handling
buttons,
picking,
wrapping
string,
etc?
Yes No
6.
Does
the
patient
fidget
excessively,
seem
unable
to
sit
still,
or
bounce
his/her
feet
or
tap
his/her
fingers
a
lot?
Yes No
7.
Does
the
patient
do
any
other
activities
over
and
over?