HCI·Obsessive-Compulsive

Hoarding Assessment Questionnaire

Assesses hoarding symptoms in a comprehensive way.

Clinical review

Berk Mete, MSc reviewed this page

Clinical Psychologist · BPS Graduate Member #763717

Last updated: July 14, 2026

In one minute

The Hoarding Assessment Questionnaire assesses symptoms such as difficulty discarding possessions, excessive acquisition and living spaces becoming unusable. It makes visible how much hoarding behaviour affects daily life.

How it works in 3 steps

  1. You respond: You mark items about difficulty discarding, acquisition and clutter.
  2. The dimensions separate: Discarding, acquisition and the impact on living space are read separately.
  3. It is interpreted: The result is considered in the context of functioning and safety.

Who it informs

It is informative for people who find it very hard to discard their possessions and whose daily life is made difficult by spaces in the home overflowing.

When professional support helps

A scale never makes a diagnosis on its own. If your results worry you, or if symptoms are affecting your daily life, sleep, or relationships, planning an assessment session with a clinical psychologist is the healthiest next step. If symptoms are intense, seeking support without delay is recommended.

What does the HCI measure?

The scale addresses three aspects of hoarding together: the distress experienced when discarding possessions, the tendency towards excessive acquisition, and living spaces becoming unusable. This whole-picture view makes visible how much the behaviour restricts your life.

High results can point to a picture in which the functionality and safety of the living space also need to be assessed.

How is it scored?

Items are marked and summed. The total score falls into low, moderate and clinical-level hoarding symptom ranges.

Items
46
Score range
0184
Administration
Self / observer report

What do the score bands mean?

The ranges below are a general frame. No band makes a diagnosis on its own; a result only becomes meaningful when a clinical psychologist interprets it alongside your life story.

ScoreGeneral interpretation
060Low hoarding
61120Moderate hoarding
121184Clinical hoarding

Limitation: It relies on self-report, and where insight is limited symptoms may be under-reported. A scale never makes a diagnosis on its own; where possible it is supported by observation from someone close.

Psychometrics and source

Original source: Frost, R.O. & Hartl, T.L. (1996). Compulsive hoarding.

How is this scale used at Mete Psikoloji?

At Mete Psikoloji, when working with hoarding, this scale is used to understand the scope of the behaviour and to build a step-by-step plan of work, with results kept in your client portal for online and in-person sessions alike.

Related reading

Did your result give you pause?

A scale is only a starting point. By planning an assessment session with our clinical psychologists, you can consider your result alongside the context of your life.