The Mood Disorder Questionnaire (MDQ):

INSTRUCTIONS: Please answer each question as best you can.

1. Has there ever been a period of time when you were not your usual self and...

... you felt so good or so hyper that other people thought you were not your normal self or you were so hyper that you got into trouble?

... you were so irritable that you shouted at people or started fights or arguments?

... you felt much more self-confident than usual?

... you got much less sleep than usual and found that you didn’t really miss it?

... you were more talkative or spoke much faster than usual?

... thoughts raced through your head or you couldn’t slow your mind down?

... you were so easily distracted by things around you that you had trouble concentrating or staying on track?

... you had much more energy than usual?

2. If you checked YES to more than one of the above, have several of these ever O O happened during the same period of time?

3. How much of a problem did any of these cause you - like being able to work; having family, money or legal troubles; getting into arguments or fights?

4. Have any of your blood relatives (i.e. children, siblings, parents, grandparents, aunts, uncles) had manic-depressive illness or bipolar disorder?

5. Has a health professional ever told you that you have manic-depressive illness or bipolar disorder?