Full Name Age Mobile No 1. Elevated Mood - Select -Absent (0)Mildly or possibly increased (1)Definite subjective elevation (2)Elevated; inappropriate (3)Euphoric; inappropriate laughter, singing (4) 2. Increased Motor Activity-Energy - Select -Absent (0)Subjectively increased (1)Animated; gestures increased (2)Excessive energy (3)Motor excitement; continuous hyperactivity (4) 3. Sexual Interest - Select -Normal; not increased (0)Mildly increased (1)Definite subjective increase (2)Spontaneous sexual content (3)Overt sexual acts (4) 4. Sleep - Select -No decrease in sleep (0)Sleeping less by up to one hour (1)Sleeping less by more than one hour (2)Decreased need for sleep (3)Denies need for sleep (4) 5. Irritability - Select -Absent (0)Subjectively increased (2)Irritable at times (4)Frequently irritable (6)Hostile, uncooperative (8) 6. Speech (Rate and Amount) - Select -No increase (0)Feels talkative (2)Increased rate at times (4)Push; difficult to interrupt (6)Pressured, continuous speech (8) 7. Language-Thought Disorder - Select -Absent (0)Circumstantial (1)Distractible (2)Flight of ideas (3)Incoherent (4) 8. Content - Select -Normal (0)Questionable plans (2)Special abilities (4)Grandiose ideas (6)Delusions (8) 9. Disruptive-Aggressive Behavior - Select -Absent (0)Sarcastic (2)Demanding (4)Threatening (6)Assaultive (8) 10. Appearance - Select -Appropriate (0)Slightly inappropriate (1)Moderately inappropriate (2)Markedly inappropriate (3)Bizarre (4) 11. Insight - Select -Insight present (0)Possibly ill (1)Admits illness (2)Admits behavior change (3)Denies illness (4) Live Total Score
