This form is not a diagnostic instrument and is only to be used within the context of your medical treatment and by you if you are greater than 18 years old. Share your checklist responses and assessment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material.

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Welcome to My Mood Monitor

Why screen for Mood: Depression, Anxiety and Bipolar Disorder

More than 57 million Americans have a diagnosable mood disorder every year while less than half of these individuals receive help for their condition. One reason for this shortfall is the absence of a single, simple and reliable screen that can assess the risk of the several existing mood and anxiety disorders.

Written by mental health experts

The M3 Screen is a brief symptom checklist that allows you to rate your mood in one easy review. It is comprised of a short series of questions that touch on important indicators of your mental health.

Share with your doctor

Mental health is a key component of your overall health. Numerous research studies have demonstrated that mental functioning plays an important role in the prevention of and recovery from heart attack, stroke, diabetes, chronic pain and other conditions. Yet, mood and anxiety disorders are often overlooked during doctor visits.

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This form is not a diagnostic instrument and is to be used solely within the context of your medical treatment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material. My Mood Monitor™ V.03.06 Copyright © 2002-2012 by M3 Information™, The M-3 Checklist and Mymoodmonitor.com are free for personal home use. For any other uses, including clinical., educational, non-profit, hospital research, or for-profit settings please contact mail@m-3information.com. No further reproduction or distribution, or reverse engineering is permitted without written permission from M3 Information. Patent Pending.