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Survey Templates Psychographic And Demographic Surveys Bipolar Survey Questions + Sample Questionnaire Template

Bipolar Survey Questions + Sample Questionnaire Template

Bipolar survey template consists of questions that help a medical professional understand whether an individual is showing symptoms of bipolar disorder. This is a self-explanatory questionnaire that even an individual can use to analyze his/her state of mind. This sample survey template can be customized and a number of questions can be added to suit the need of the researcher.

Bipolar disorder is a brain disorder that results in unusual shifts in moods, activity level, quality of work, sleeping pattern and more. An individual who is experiencing bipolar disorder can be extremely happy at one moment and extremely sad the next second. The variations are extreme and irrational. Timely and proper diagnosis can help get treatment in time and lead to a healthy and productive life.


1. Please select your gender
2. Please select your age
3. Please select your ethnicity
4. Please select the most appropriate answer
5. Over the last 3 weeks, how often have you been bothered by the following: