Assessment Measures 743Clinician-Rated Dimensions of  Psychosis Symptom Severity 
Name:______________________________________ ______ Age: __________ Sex: [ ] Male [ ] Female  Date:________________
Instructions:  Based on all the information you have on the individual and usin g your clinical judgment, please rate (with checkmark) the pre sence and severity 
of the following symptoms as experienced by the in dividual in the past seven (7) days.
 Domain 0 1 2 3 4 Score
I. Hallucinations ❑ Not present ❑ Equivocal (severity or 
duration not sufficient 
to be considered psy-
chosis)❑ Present, but mild (lit-
tle pressure to act 
upon voices, not very 
bothered by voices)❑ Present and moderate 
(some pressure to 
respond to voices, or 
is somewhat bothered 
by voices)❑ Present and severe 
(severe pressure to 
respond to voices, or 
is very bothered by 
voices)
II.  Delusions ❑ Not present ❑ Equivocal (severity or 
duration not sufficient 
to be considered psy-
chosis)❑ Present, but mild (lit-
tle pressure to act 
upon delusional 
beliefs, not very both-
ered by beliefs)❑ Present and moderate 
(some pressure to act 
upon beliefs, or is 
somewhat bothered 
by beliefs)❑ Present and severe 
(severe pressure to act 
upon beliefs, or is very 
bothered by beliefs)
III. Disorganized speech ❑ Not present ❑ Equivocal (severity or 
duration not sufficient 
to be considered dis-
organization)❑ Present, but mild