Sadness

Pessimism

Past Failure

Loss of Pleasure

Guilty Feelings

Punishment Feelings

Self-Dislike

Self-Criticalness

Suicidal Thoughts or Wishes

Crying

Agitation

Loss of Interest

Indecisiveness

Worthlessness

Loss of Energy

Changes in Sleeping Pattern

Irritability

Changes in Appetite

Concentration Difficulty

Tiredness or Fatigue

Loss of Interest in Sex

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 were much more active or did many more things than usual?

You had more energy than usual?

You were much more social or outgoing than usual, for example, you telephoned friends in the middle of the night?

You were much more interested in sex than usual?

You did things that were unusual for you or that other people might have thought were excessive, foolish, or risky?

Spending money got you or your family in trouble?

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

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

Feeling nervous, anxious, or on edge

Not being able to stop or control worrying

Worrying too much about different things

Trouble relaxing

Being so restless that it is hard to sit still

Becoming easily annoyed or irritable

Feeling afraid, as if something awful might happen

Often fails to give close attention to details or makes careless mistakes in schoolwork or tasks.

Often has difficulty sustaining attention in tasks or play activities

Often does not seem to listen when spoken to directly

Often does not follow through on instructions and fails to finish school work, chores, or duties

Often has difficulty organizing tasks and activities

Often avoids, dislikes, or reluctantly engages in tasks requiring sustained mental effort

Often loses things necessary for activities (e.g., toys, school assignments, pencils or books)

Often is distracted by extraneous stimuli

Often is forgetful in daily activities

Often fidgets with hands or feet or squirms in seat

Often leaves seat in classroom or in other situations in which remaining seated is expected

Often runs about or climbs excessively in situations in which it is inappropriate

Often has difficulty playing or engaging in leisure activities quietly

Often is “on the go” or often acts as if “driven by a motor”

Often talks excessively

Often blurts out answers before questions have been completed

Often has difficulty awaiting turn

Often interrupts or intrudes on others (e.g., butts into conversations/games

Often loses temper

Often argues with adults

Often actively defies or refuses adult requests or rules

Often deliberately does things that annoy other people

Often blames others for his or her mistakes or misbehaviour

Often is touchy or easily annoyed by others

Often is angry and resentful

Often is spiteful or vindictive