NeuroGraphThis questionnaire is under construction Mood Disorder AppraisalFirst Name *Surname *Date of Birth *Email *Symptom Severity / Frequency Severity 0 = Never 1 = Mild problem 2 = Moderate problem 3 = Severe problem Frequency 0 = Never 1 = Infrequent ................ Once a month or less 2 = Fairly Frequently ....... Several times a month or weekly 3 = Very Often, Daily ...... More than 4 times a week or occurs dailyTip If your response is Never (0) you do not need to click this in and you can leave that question blank. If however you do change your mind for example from Mild (1) to Never (0) you will need to click.QuestionsSeverity Frequency 1. No appetite, unable to eat Severity0123 Frequency01232. Currently taking antidepressants YesNo VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
