0	1	2	3	4	5	6	7	8
No problem		Mild, feels mildly distressed by discarding or avoids discarding some things (e.g., < 25%) because of distress		Moderate, feels moderately distressed by discarding or avoids discarding some things (e.g., 50%) because of distress		Severe, feels strongly distressed by discarding or avoids discarding most things (e.g., 75%) because of distress		Extreme, feels extremely distressed by discarding or avoids discarding altogether because of distress