Family Response to Hoarding Scale (FRHS)

INSTRUCTIONS : Th e purpose of these questions is to learn about the ways in which you may be modifying your behavior or routines because of a loved one (e.g., family member, friend, signifi cant other) with hoarding problems.

Please note that hoarding is defi ned by:

■ Persistent diffi culty discarding or parting with possessions, regardless of their actual value.

■ Strong urges to save items and/or distress associated with discarding.

■ Clutter in the living areas of the home so these spaces cannot be used as intended.

■ Signifi cant distress or impairment in social, occupational, or other important areas of functioning.

For each question below, in part “a.” please indicate whether the behavior occurred during the past month . If you answer YES to part “a.”, then please indicate in part “b.” how often that behavior occurred. If you answer NO to part “a.”, then please leave part “b.” blank.

During the past month, did you:

1 2 3 4 1. a. Help your family member decide whether to acquire, Yes No save, or discard items because he/she was having diffi culty making a decision? b. [if yes] How often did you help him/her decide on 1–2 times 3–4 times 5–9 times 10 or more times discarding or saving?

Oxford Clinical Psychology | Oxford University Press 2. a. Wait for your family member because of Yes No hoarding-related behaviors, interfering with plans you had made? (For example, prolong the time you would normally spend shopping in a store, or take longer to leave the house because of diffi culty fi nding items?) b. [if yes] How often, during the past month, did you wait 1–2 times 3–4 times 5–9 times 10 or more times for your family member because of his/her hoarding? 3. a. Keep items longer than you normally would because Yes No of your family member’s hoarding? (For example, did you keep old newspapers or trash because he/she had not reviewed them?) b. [if yes] How often, during the past month, did you 1–2 times 3–4 times 5–9 times 10 or more times not discard items you normally would throw out? 4. a. Discard, recycle, or remove items without telling your Yes No family member? b. [if yes] How often, during the past month, did you discard items secretly without telling your family 1–2 times 3–4 times 5–9 times 10 or more times member? 5. a. Help your family member acquire items that Yes No may have contributed to hoarding? (For example, providing money to buy items, telling about a sale, buying something likely to be hoarded, bringing home extra copies, providing storage space.) b. [if yes] How often, during the past month, did you 1–2 times 3–4 times 5–9 times 10 or more times help your family member undertake or complete compulsive acquiring behaviors?

Oxford Clinical Psychology | Oxford University Press 1 2 3 4 6. a. Engage in odd or senseless behaviors at your family Yes No member’s request, or because you thought he/she would want you to do these things? (For example, checking items to make sure he/she didn’t lose or miss something important.) b. [if yes] How often, during the past month, did you 1–2 times 3–4 times 5–9 times 10 or more times engage in these behaviors? 7. a. Take over duties that would be your family member’s Yes No responsibility if s/he did not have a hoarding problem? (For example, paying bills, doing taxes, taking out trash.) b. [if yes] How much do you do these things? I occasionally I have assumed I have assumed I have assumed handle one of my my family my family most or all of my family member’s member’s member’s family member’s responsibilities, responsibilities responsibilities responsibilities. but there has been in one area of in more than no substantial life. one area of life. change in my role. 8. a. Modify your personal, leisure, or family activities Yes No because of your family member’s hoarding? (For example, unable to watch TV, engage in hobbies, or cook because of hoarding?) b. [if yes] How much are you modifying these I have modifi ed I have defi nitely I have defi nitely I am unable to activities? these activities modifi ed my modifi ed my attend to leisure, slightly but activities in one activities in work or family my overall area of life. more than one responsibilities. functioning area of life. has not been aff ected.

Oxford Clinical Psychology | Oxford University Press 9. a. Modify your social activities because of your family Yes No member’s hoarding? (For example, not inviting friends or relatives to the home.) b. [if yes] How much are you modifying these activities? I have modifi ed I have defi nitely I have defi nitely I am unable to these activities modifi ed my modifi ed my engage in social slightly but activities in one activities in activities. my overall area of life. more than one functioning area of life. has not been aff ected. 10. a. Modify your work activities because of your family Y e s N o member’s hoarding problems? (For example, changing work schedule to attend to clutter; unable to work at home because of clutter.) b. [if yes] How much are you modifying these activities? I have modifi ed I have defi nitely I have defi nitely My work is my work slightly modifi ed some modifi ed my extremely but my overall aspect of my work routine in disrupted. functioning work. more than one has not been area of work. aff ected.

Oxford Clinical Psychology | Oxford University Press 1 2 3 4 11. a. Spend money you would not normally spend Yes No because of your family member’s hoarding? (For example, storage expenses, purchasing extra items, rebuying items lost in clutter, billing or tax penalties, or compulsive buying uses funds intended for other things.) b. [if yes] How much are you spending? I have slight I have defi nite I have many I have so many extra expenses extra expenses, extra expenses, extra expenses but there is no but there is only and this that I am unable overall eff ect on a minor eff ect prevents me to aff ord basic my budget. on my budget. from buying household items. things I need. 12. a. Experience health problems because of your Yes No family member’s hoarding? (For example, asthma exacerbated by dirty home, dermatitis caused by bathing diffi culties, home infested with insects or rodents caused by hoarding, injury from fall due to hoarding.) b. [if yes] How bad are your health problems caused by I have slight I have moderate I have serious I have extreme hoarding? health problems health problems health problems health problems caused by caused by caused by caused by hoarding. hoarding. hoarding. hoarding.

Oxford Clinical Psychology | Oxford University Press 13. a. Experience problems with hygiene or cleanliness Yes No because of your family member’s hoarding? (For example, unable to use the bath or shower, unable to clean the home, or other unsanitary conditions because of hoarding.) b. [if yes] How severe are the hygiene or cleanliness I/we have I/we have I/we have I/we have problems? slight hygiene moderate serious hygiene extreme hygiene or cleanliness hygiene or or cleanliness or cleanliness problems caused cleanliness problems caused problems caused by by hoarding. problems caused by hoarding. hoarding. by hoarding. 14. a. Experience emotional distress because of your family Yes No member’s hoarding? (For example, anxiety, guilt, frustration, embarrassment, depression, sleeplessness caused by hoarding.) b. [if yes] How severe is the emotional distress? I/we have mild I/we have I/we have serious I/we have extreme emotional moderate emotional emotional distress distress caused emotional distress caused caused byhoarding. by hoarding. distress caused by hoarding. by hoarding.

Oxford Clinical Psychology | Oxford University Press 1 2 3 4 15. a. Experience diffi culty in your relationships because Yes No of your family member’s hoarding? (For example, disagreements or arguing about hoarding.) b. [if yes] How severe are the relationship problems? We have mild We have moderate We have serious We have extreme relationship relationship relationship relationship problems or problems or problems problems, open minor arguments occasional or frequent hostility, or refuse caused by disagreements disagreements communicate hoarding. caused by caused by caused by hoarding. hoarding. hoarding. 16. a. Experience diffi culty planning for the future because Yes No of your family member’s hoarding? (For example, unable to sell home, unable to move to desired dwelling, unable to complete plans for event or goal.) b. [if yes] How severe is the diffi culty in planning for I have mild I have moderate I have serious I have extreme the future? problems problems problems problems planning planning for the planning for planning for the for the future future caused by the future in 1 future in several caused by hoarding hoarding, but or 2 areas of life areas of life and am unable it is minimally resulting from resulting from to plan or make disruptive. hoarding. hoarding. important changes.

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