Mood Disorders Questionnaire*
Instructions: Please answer each question as best you can. Upon completing this form, print your completed form and take it to your health care practitioner.
Has there ever been a period of time when you were not your usual self and (while not using drugs or alcohol) ...
*Mood Disorders Questionnaire reprinted from: Hirschfeld RM, Williams JB, Spitzer RL, et al. Development and validation of a screening instrument for bipolar spectrum disorder: the Mood Disorder Questionnaire. Am J Psychiatry. 2000 Nov;157(11):1873-5.
