QUESTIONNAIRE ON PATIENT’S PERSPECTIVE OF BIPOLAR DISORDER

Section A: Socio-Demographic characteristics

1. Age in years: Less than 20 ( ) 21–30 ( ) 31–40 ( ) 41–50 ( )
51–60 ( ) 61–70 ( ) 71 and above ( )
2. Sex: Male ( ) Female ( )
3. Marital status: Married ( ) Single ( ) Divorced/Separated ( ) Widowed ( )
4. Highest educational qualification: No formal education ( ) Diploma ( ) Degree ( )
Master ( ) PhD ( )
5. Employment: Employed ( ) Unemployed ( ) Retired ( ) Self-employed ( )

Section B: The Level of Knowledge about Bipolar Disorder

6. Do you have knowledge about bipolar disorder? Yes ( ) No ( ) don’t know ( )

7. Are you familiar with the causes of bipolar? Yes ( ) No ( ) don’t know ( )
8. Early diagnosis is possible? Yes ( ) No ( ) don’t know ( )
9. Bipolar illness can be treated? Yes ( ) No ( ) don’t know ( )
10. Stress and genetic factors are responsible for Illness? Yes ( ) No ( ) don’t know ( )

11. Bipolar affects more men than women? Yes ( ) No ( ) don’t know ( )
12. Mania is a form of bipolar illness? Yes ( ) No ( ) don’t know ( )
13. Bipolar illness can get worse if left untreated? Yes ( ) No ( ) don’t know ( )
14. Late adolescence and early adulthood are peak years for the onset of bipolar disorder?
Yes ( ) No ( ) don’t know ( )
15. Depressive state may lead to suicidal thoughts that change over to feelings of
euphoria and endless energy? Yes ( ) No ( ) don’t know ( )

Section C: Perception of Bipolar Disorder

16. Bipolar disorder is a mental illness? Yes ( ) No ( ) don’t know ( )

17. Bipolar is a disorder found only in western societies? Yes ( ) No ( ) don’t know ( )

18. Bipolar illness is contagious? Yes ( ) No ( ) don’t know ( )

19. Bipolar disorder requires lifelong Treatment? Yes ( ) No ( ) don’t know ( )
20. It is caused by the sufferers? Yes ( ) No ( ) don’t know ( )
21. It can be controlled without Medication? Yes ( ) No ( ) don’t know ( )
22. Bipolar illness can make the sufferer feel isolated and different from the rest of the
world? Yes ( ) No ( ) don’t know ( )
23. Family members see bipolar disorder as behavior (mood swing)? Yes ( ) No ( ) don’t
know ( )
24. Risk factor include alcohol and drug misuse? Yes ( ) No ( ) don’t know ( )
25. People living with this disorder are being stigmatized? Yes ( ) No ( ) don’t know ( )