Mood Disorder Online Questionnaire

Mood disorder (also termed affective disorder) is a broad category which refers to disorders like depression or bipolar depression. Mood disorder online questionnaire judges one’s mental state by analyzing one’s reactions to varied situations in day to day life. These types of questionnaires are used online.

Sample Mood online Disorder Questionnaire

Name: _________________

Sex: ___________________

D.O.B.: ___________________

Occupation: ___________________

Siblings: _______________________

Hobbies: ______________________

Kindly answer the following questions:

Q1.When hanging out or partying with friends or family do you feel unhappy/ sad without a reason?

  1. Never
  2. Sometimes
  3. Most times
  4. Always

Q2. Do you get agitated/ angry over small matters that aren’t that important or could’ve been resolved amicably?

  1. Never
  2. Sometimes
  3. Often
  4. Always

Q3. Over a period of past 2 months have you lost your appetite or witnessed a deviation from the usual?

Q4. Over last 2 months have you experienced unexplained gain or loss in weight? If yes how severe is it (mention the amount lost).

Q5. Do you find yourself in a state of indecisiveness?

  1. Never, I’m clear about what I want to do
  2. Sometimes
  3. Quite a lot
  4. Always.

Q6. Are there times when there are many thoughts racing your mind and its difficult to concentrate on any one thing?

  1. Hardly ever
  2. Sometimes
  3. Almost always.

Q7. How do you sleep at night? (Is it hard going to sleep and once you are asleep, do you find yourself waking up often in mid of the night, also mention average hours of sleep attained)

Q8. Do you get into impulsive acts or make irrational impulsive decisions (e.g. going on a spending spree without worrying about your budget)?

  1. Never
  2. Sometimes
  3. A lot.

Q9. Have you ever thought of committing suicide or imagined how would you die?

  1. Never
  2. Sometimes
  3. Quite sometimes.

Category: Online Questionnaire

Comments are closed.

Copy Protected by Chetan's WP-Copyprotect.