Rapid Mood Screener (RMS)
Are you among the millions of people who have depressive symptoms? Answer the following questionnaire about your medical history and provide it to your doctor or nurse to assist in an important conversation about your mood.
Please select one response for each question. You can complete the RMS in less than 2 minutes.
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
1. Have there been at least 6 different periods of time (at least 2 weeks) when you felt deeply depressed?
Please Select
YES
NO
2. Did you have problems with depression before the age of 18?
Please Select
YES
NO
3. Have you ever had to stop or change your antidepressant because it made you highly irritable or hyper?
Please Select
YES
NO
4. Have you ever had a period of at least 1 week during which you were more talkative than normal with thoughts racing in your head?
Please Select
YES
NO
5. Have you ever had a period of at least 1 week during which you felt any of the following: unusually happy; unusually outgoing; or unusually energetic?
Please Select
YES
NO
6. Have you ever had a period of at least 1 week during which you needed much less sleep than usual?
Please Select
YES
No
Signature
Submit
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