Daily Registering Form

1. Sad/Aggressive A score of 1 indicates that you are down, heavy, constantly sad.
   10 indicates explosive mood with aggressive outbursts and physical uneasiness.
2. Passive/Overactice 1-no interest/loss of joy in activities, no motivation
   10-plan/organize lots, high activity level at home, work and socially
3. Quiet/Overly Talkative 1-almost do not talk
   10-talk quickly, lots, amazingly articulate, phone lots, quick mental activity
4. Negative/Overly happy 1-negative thoughts, suicidal thoughts
   10-high on life
5. Worthless/extremely gifted 1-when life loses meaning and you feel like a nothing
   10-when you are on the top of the world and feel you have gifts that no other human has
6. Forget to buy necessities/Spending too much 1-forget to buy food, etc
   10-buy carelessly and in large amounts
7. Sleepy in the morning/wide awake 1-do not wake up in the morning, maybe late afternoon
   10-wide awake with active mind too early
8. Sleepy in the evening 1-what evening, went to bed after supper
   10-not sleeping at all
9. Did you take the medications you usually take?
10. Did you take extra medications for mania like sleeping medications?
11. For me a stress level of 5 or more indicates trouble or unusual circumstances.
    Stress management is a key factor to balance so the information you fill in below will help you.
12. If you get an alert, then you need to check the data you entered, change it, and click again
13. This result tells you where you are generaly between 1 and 10.
    You will see a general pattern for yourself and decide where you want to be.
    Note that if you have extreme highs and lows in one day, then they average out in the middle. You need to be aware of these extremes.

Contact me at: [email protected].