1. My mood and energy levels change from time to time.

2. At times my energy is very low, other times very high.

3. During low phases I experience: low/no energy, need for excessive sleep or insomnia, lack or loss of motivation.

4. My weight increases during low phases.

5. During low phases I feel sadness, gloom, and depression.

6. Sometimes during low phases I feel hopeless or even suicidal.

7. My work, social, and communication abilities are impaired during low phases.

8. Low phases typically last several weeks, sometimes just a few days.

9. Sometimes my mood is normal; energy and functioning are appropriate.

10. I notice that my mood fluctuates.

11. During high phases I feel increased energy and motivation for activities I wouldn’t normally consider.

12. In these phases I engage in various activities.

13. Sometimes in this phase I feel restless or irritable.

14. Sometimes I want to perform multiple tasks at once.

15. Sometimes I lose a lot of money or do things later realized as risky.

16. Sometimes I feel pressured to talk, directed activity urge, and increased sexual drive.

17. Sometimes my behaviors in this phase seem strange to others.

18. Sometimes I have conflicts with family or colleagues in this phase.

19. Sometimes I overuse alcohol, drugs, or medications in this phase.