An Assessment of Mood Types - adapted from MDQ and BSDS
MDQ Calculation Q1=
Your Name
*
First Name
Last Name
Your email
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
1. Has there ever been a period of time when you were not your usual self andyou felt so good or so hyper that other people thought you were not your normal self or you were so hyper that it got you into trouble?
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Yes
No
2. Has there ever been a period of time when you were not your usual self and you were so irritable that you shouted at people or started fights or arguments?
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Yes
No
3. Has there ever been a period of time when you were not your usual self anyou felt much more self-confident than usual?
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Yes
No
4. Has there ever been a period of time when you were not your normal self and you got much less sleep than usual and found that you didn't really miss it?
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Yes
No
5. Has there ever been a period of time when you were not your normal self and you were more talkative or spoke much faster than usual?
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Yes
No
6. Has there ever been a period of time when you were not your normal self and your thoughts raced through your head or you couldn't slow your mind down?
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Yes
No
7. Has there ever been a period of time when you were not your normal self and ywere so easily distracted by things that you had trouble concentrating or staying on track?
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Yes
No
8. Has there ever been a period of time when you were not your normal self and you had more energy than usual?
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Yes
No
9. Has there ever been a period of time when you were not your normal self and you were much more active or did many more things than usual?
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Yes
No
10. Has there ever been a period of time when you were not your normal self and ywere much more social or outgoing than usual, for example, you texted ortelephoned friends in the middle of the night?
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Yes
No
11. Has there ever been a period of time when you were not your normal self and ywere much more interested in sex than usual?
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Yes
No
12. Has there ever been a period of time when you were not your normal self and you did things that were unusual for you or that other people might have thought were excessive, foolish, or risky?
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Yes
No
13. Has there ever been a period of time when you were not your normal self and you spent money which got you or your family in trouble?
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Yes
No
IF you answered YES to more than one of the items above, have any of these ever happened during the same period of time?
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Yes
No
Not applicable, as none of the above apply to me
How much of a problem did any of these cause you - like being unable to work; having family, money, or legal problems; getting into arguments or fights?
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No Problem
Minor Problem
Moderate Problem (includes legal, losing relationships, fights, debt)
Serious Problem (can include those listed as moderate problems, or worse)
Have any of your blood relatives (i.e. children siblings, parents, grandparents,aunts, uncles, cousins) had manic-depressive illness or bipolar disorder(diagnosed or not)?
*
Yes
Yes, undiagnosed, I believe
Uncertain
No
Have any of your blood relatives (i.e. children siblings, parents, grandparents,aunts, uncles, cousins) had alcohol or drug problems?
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Yes
No
Have any of your blood relatives (i.e. children siblings, parents, grandparents,aunts, uncles, cousins) had to be psychiatrically hospitalized?
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Yes
No
Have any of your blood relatives (i.e. children siblings, parents, grandparents,aunts, uncles, cousins) had to be incarcerated in jail or prison?
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Yes
No
Have any of your blood relatives (i.e. children siblings, parents, grandparents,aunts, uncles, cousins) been extremely successful in business, politics, or entertainment?
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Yes
No
Submit
Should be Empty: