Printable and Fillable Mood Disorder Questionnaire Pack for Group Practices

Group practices need a grab and go kit for the MDQ so every location serves patients the same way. Here is the setup we give multi site clinics.

Build Three Formats

1. Fillable PDF with locked fields for telehealth visits.
2. High contrast printable version on heavy paper for clipboards.
3. Laminated reference copy displayed at self check in kiosks so patients know what to expect.

Assemble Clipboard Kits

Each exam room should have a clipboard, two pens, and a quick instruction card that explains the 13 yes or no questions plus the impairment scale. Restock the kits weekly and recycle any forms older than the current quarter.

Kiosk Friendly Workflow

Upload the MDQ into your kiosk software with skip logic that prevents incomplete submissions. Provide a privacy screen and add a bright button that lets patients request staff help, since not everyone wants to tap through alone.

Storage and Shredding

Collect completed paper forms in a locked bin and shred them after scanning into the EHR. Post the retention policy near the workroom printer so float staff know the expectations. Consistent handling keeps auditors satisfied and protects patient trust.

Trusted Bipolar & MDQ Resources

• Cleveland Clinic overview of the MDQ - Explains how clinicians score, interpret, and follow up on questionnaire results.
• AHRQ evidence review on bipolar disorder care - Summarizes comparative effectiveness findings for medication and therapy choices.
• Mood Disorder Questionnaire PDF (SAMHSA) - Download the original worksheet behavioral health teams rely on for MDQ screening.