Tourette Syndrome Test

1. I notice more tics when I feel watched, evaluated, or judged.

2. Trying to suppress my tics makes it harder to focus on what I’m doing.

3. People’s reactions to my tics (staring, comments, teasing) interfere with my daily life.

4. In the past 2 weeks, my tics have interfered with speaking, reading aloud, or being understood.

5. I feel a strong build-up of urges when I try to hold back tics.

6. In the past 2 weeks, my tics have taken up a large portion of my day (time spent ticcing or recovering).

7. Overall, my tics significantly disrupt my day-to-day functioning.

8. I spend a noticeable part of my day managing triggers (e.g., stress, fatigue) to reduce tics.

9. I spend a lot of mental energy trying to hide, suppress, or control my tics in public.

10. In the past 2 weeks, when I tried to suppress tics, they “rebounded” (came out stronger or more often afterward).

11. My tics worsen when I am bored or under-stimulated.

12. I need extra breaks or accommodations (formal or informal) because of my tics.

13. In the past 2 weeks, my tics have been strong or forceful (noticeable in intensity).

14. In the past 2 weeks, my tics have led me to avoid certain activities because symptoms might show.

15. Stress (e.g., feeling pressured or anxious) makes my tics noticeably worse.

16. In the past 2 weeks, my tics have been worse when I was tired or sleep-deprived.

17. Excitement or high energy (good or bad) tends to trigger more tics for me.

18. Trying not to tic can make me feel irritable or emotionally drained.

19. My tics make it hard to concentrate on reading, lectures, meetings, or conversations.

20. Being in social situations (e.g., around strangers or groups) makes my tics worse.

21. My tics interfere with my usual daily routines (e.g., getting ready, commuting, chores).

22. Thinking about my tics or trying to monitor them makes them worse.

23. In the past 2 weeks, I have had days where tics were present from morning until night (on and off).

24. In the past 2 weeks, my tics have lasted for long periods when they occur (minutes rather than seconds).

25. I feel emotionally distressed (e.g., upset, anxious, frustrated) because of how my tics affect my day.

26. After I suppress my tics, they often come out stronger or more frequently later.

27. My tics interfere with my ability to participate in group activities (e.g., class discussions, team projects, clubs).

28. In the past 2 weeks, I have had more than one type of tic (different movements and/or sounds).

29. In the past 2 weeks, my tics have interfered with writing, typing, or using my hands.

30. In the past 2 weeks, I have had vocal tics (sounds/words) that are clearly noticeable to others.

31. I feel embarrassed about my tics in social situations.

32. Deadlines, tests, or performance pressure tend to trigger my tics.

33. Stress management (or lack of it) strongly affects how severe my tics are.

34. My tics cause physical discomfort or pain that affects what I can do (e.g., sore muscles, headaches).

35. In the past 2 weeks, my tics have been difficult to ignore because of how frequent they are.

36. In the past 2 weeks, I have had motor tics (movements) that are clearly noticeable to others.

37. My tics interfere with my ability to drive or travel safely/comfortably.

38. My tics reduce my performance or productivity at school or work.

39. Even when I try hard to suppress tics, I can only do it for a short time.

40. In the past 2 weeks, my tics have occurred in situations where I most wanted to control them (e.g., quiet places).

41. My tics cause conflict or tension with family members or people I live with.

42. When I suppress my tics, it becomes harder to concentrate on what I am doing.

43. In the past 2 weeks, my tics have made it hard to sit still for a full meeting/class/meal.

44. I try to suppress or hold back my tics in public or around other people.

45. In the past 2 weeks, my tics have been disruptive enough that I needed to pause what I was doing.

46. My tics flare up when I am overwhelmed (too much going on at once).

47. Suppressing my tics causes physical discomfort (e.g., tension, pressure, urge buildup).

48. I can usually predict certain situations that will make my tics worse.

49. I limit social outings (e.g., restaurants, movies, public places) because of my tics.

50. My tics interrupt me when I am speaking or presenting.

51. My tics disrupt my sleep or make it harder to fall asleep.

52. When I cannot avoid triggers, I feel like my tics become harder to control.

53. In the past 2 weeks, my tics have been worse during stressful situations.

54. In the past 2 weeks, suppressing my tics (holding them back) was only possible for a short time.

55. My tics interfere with my ability to complete school, work, or household tasks.

56. My tics make it harder for me to make or keep friends/relationships.

57. My tics have caused me to miss school/work, arrive late, or leave early.

58. In the past 2 weeks, my tics have come in bursts or clusters that are hard to stop once they start.

59. In the past 2 weeks, even when I tried, I could not reduce my tics much.

60. I have to stop what I’m doing to manage or recover from tics.

61. When I am tired or sleep-deprived, my tics increase in frequency or intensity.

62. Suppressing my tics takes a lot of mental effort.

63. I avoid phone calls, video calls, or speaking in public because of my tics.

64. Because of my tics, it takes me longer than usual to finish tasks.

65. In the past 2 weeks, my most severe tic has been intense enough to cause discomfort or soreness.

66. In the past 2 weeks, my tics have interrupted my sleep or made it hard to fall asleep.

67. My tics make me feel less confident in my abilities at school/work.

68. Changes in routine or unexpected events tend to increase my tics.

69. My tics interfere with my ability to relax or enjoy leisure activities (e.g., gaming, reading, watching shows).

70. I avoid certain places or activities because I would have to suppress my tics there.

71. My tics make activities requiring fine motor control difficult (e.g., writing, typing, using tools, applying makeup).

72. In the past 2 weeks, my tics have happened many times throughout the day.

73. Conflict or arguments make my tics worse.

74. In the past 2 weeks, my tics have felt severe enough that I worried about injury or harm (to myself or objects).

75. Because of my tics, I have changed my plans, goals, or opportunities (e.g., jobs, classes, activities).

76. In the past 2 weeks, my tics have drawn attention from others because of how noticeable they are.

77. In the past 2 weeks, my tics have interfered with walking, balance, posture, or general movement.

78. My tics interfere with my ability to participate in sports, exercise, or physical activities.

79. I avoid certain classes, meetings, or activities because of my tics.

80. In the past 2 weeks, my tics have been severe enough that they affected my performance at school/work.