This questionaire is for informational purposes only. This is no substitute for a qualified health professional for diagnosis
and treatment of Depression or Bipolar Disprder.
Instructions:
You might reproduce this scale and use it on a weekly basis to track your moods. It also might be used to show your doctor how your symptoms have changed from one visit to the next.
Changes of five or more points are significant. This scale is not designed to make a diagnosis or take the place of a professional diagnosis. If you suspect that you are depressed or Bipolar, please consult with a mental health professional as soon as possible.
The 18 items in each section refer to how you have felt and behaved DURING THE PAST WEEK.
1. My mind has never been sharper.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
Very much
2. I need less sleep than usual.
_
Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
Very much
3. I have so many plans and new ideas that it is hard for me to work.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much
4. I feel a pressure to talk and talk.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much
5. I have been particularly happy.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much
6. I have been more active than usual
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much
7. I talk so fast that people have a hard time keeping up with me.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much
8. I have more new ideas than I can handle.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much
9. I have been irritable.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much
10. It’s easy for me to think of jokes and funny stories.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
Very much
11. I have been feeling like “the life of the party.”
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much
12. I have been full of energy.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much
13. I have been thinking about sex.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
Very much
14. I have been feeling particularly playful.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
Very much
15. I have special plans for the world.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much
16. I have been spending too much money.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much
17. My attention keeps jumping from one idea to another.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much
18. I find it hard to slow down and stay in one place.
_ Not at all
_ Just a little
_ Somewhat
_ Moderately
_ Quite a lot
_ Very much