No-JavaScript · printable follow-up

Spontaneous-intrusion diary

Use this only to record unexpected appearances of the same target visual image. Do not deliberately bring the image back to test it.

Two optional windows

Days 1–7 capture near-term recurrence. Days 29–35 provide a later week-5 window, similar in timing to an outcome window used in a recent clinical trial. This sheet is not a diagnostic or validated clinical instrument.

Session / Day 1 date: ____________________

Private image reminder: ____________________ (Keep this paper private; do not enter this label into online exports.)

Days 1–7

DayDateUnexpected appearances
1________________________
2________________________
3________________________
4________________________
5________________________
6________________________
7________________________

Week 5 · days 29–35

Start this section four weeks after Day 1. Record prospectively rather than repeatedly reconstructing missed days. If you fill in a missed day later, mark it with an asterisk so you can distinguish a backfilled estimate from a same-day entry.

Day from sessionDateUnexpected appearances
29________________________
30________________________
31________________________
32________________________
33________________________
34________________________
35________________________

Do not infer meaning from a single day. Recurrence can fluctuate for many reasons, and this experimental exercise has not been validated as an OCD treatment.

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