For Providers:
This instrument is designed for screening purposes only and is not to be used as a diagnostic tool.
How to Use
The questionnaire takes less than 5 minutes to complete. Patients simply check the yes or no boxes in response to the questions. The last question pertains to the patient’s level of functional impairment. The physician, nurse, or medical staff assistant then scores the completed questionnaire.
How to Score
Further medical assessment for bipolar disorder is clearly warranted if patient:
• Answers Yes to 7 or more of the events in question #1
AND
• Answers Yes to question #2
AND
• Answers Moderate problem or Serious problem to question #3