Mood Disorder Symptoms Checklist Form
Mood Disorder Symptoms Checklist Form
In the past two weeks, how often have you experienced persistent sadness or low mood?
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How frequently have you felt a noticeable loss of interest or pleasure in activities you usually enjoy?
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How often have you experienced significant changes in your appetite or eating habits?
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How often have you noticed changes in your sleep patterns (trouble falling asleep, staying asleep, or sleeping too much)?
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How frequently have you felt unusually tired or lacking in energy?
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How often have you had difficulty concentrating or making decisions?
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How frequently have you felt irritable or easily frustrated?
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How often have you experienced feelings of worthlessness or excessive guilt?
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5
How often have you noticed restlessness or feeling slowed down?
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5
If you would like to share any additional comments about your mood or symptoms, please do so here.
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