Bipolar Disorder Screener Child's First Name *Child's Last Name *Age *Date of Birth *Date of Screening *Parent/Guardian Name *Phone *Parent Email * Recommended Age: 16-Adult Instructions: Answer each, scoring: 0 = Never 1 = Sometimes 2 = Often Q1. I have had times of unusually high energy or excitement for at least 4 days *NeverSometimesOftenQ2. During these times, I needed much less sleep and felt unstoppable *NeverSometimesOftenQ3. I acted recklessly during these times (spending, sex, risky choices) *NeverSometimesOftenQ4. I have also had periods of feeling extremely sad, hopeless, or low energy for weeks *NeverSometimesOftenQ5. These mood swings have disrupted my work, school, or relationships *NeverSometimesOftenTotal ScoreSubmit
