The study of Bipolar Affective Disorder at Indiana University is looking for individuals who have a history of bipolar illness. This screening form, which asks about your history of mood disorders, will help our researchers determine if you may meet the criteria for our study. For individuals chosen for the study, each participant will be asked to complete a diagnostic interview, answer family history questions, and provide a small blood sample. It is NOT necessary to live in Indiana to participate in this study.
Please note: This form is best viewed at a resolution of 1024x800 or greater. Although it is unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your interest in this study to: Indiana University Bipolar Study or call our researchers toll-free at 888-750-2201.Please complete the information below about yourself. Use the TAB key or mouse to move between fields, click with mouse to select yes or no choices.
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