Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Sign UpLogin With Facebook
Sign UpLogin With Google

Young Mania Rating Scale (Ymrs) Form Template

Effortlessly assess mania levels with the YMRS form template

If you struggle to accurately evaluate mania levels in your clients, this YMRS form template is designed for professionals like you to simplify the assessment process. With this template, you can effectively gauge the severity of manic symptoms, streamline client evaluations, and enhance communication during treatment planning. Plus, it offers a clear structure for scores and fosters compliance with WCAG standards for accessibility. Explore how this template can transform your practice today.

Patient full name
Patient ID or medical record number
Date of assessment
Assessment setting
Inpatient
Outpatient
Emergency/ED
Telehealth
Community
Other
Please Specify:
Rater full name
Rater role or title
Rater email
Observation period covered by these ratings
Current interview only
Past 24 hours
Past 48 hours
Past 72 hours
Past week
Elevated mood
0 None/absent
1 Mild
2 Moderate
3 Marked
4 Severe
Increased motor activity or energy
0 None/absent
1 Mild
2 Moderate
3 Marked
4 Severe
Sexual interest
0 None/absent
1 Mild
2 Moderate
3 Marked
4 Severe
Sleep (reduction or disturbance)
0 None/absent
1 Mild
2 Moderate
3 Marked
4 Severe
Irritability
0 None/absent
2 Mild
4 Moderate
6 Marked
8 Severe
Speech (rate and amount)
0 None/absent
2 Mild
4 Moderate
6 Marked
8 Severe
Language-thought disorder (flight of ideas, loosening of associations)
0 None/absent
1 Mild
2 Moderate
3 Marked
4 Severe
Thought content (grandiosity or related themes)
0 None/absent
2 Mild
4 Moderate
6 Marked
8 Severe
Disruptive or aggressive behavior
0 None/absent
2 Mild
4 Moderate
6 Marked
8 Severe
Appearance (self-care, grooming)
0 None/absent
1 Mild
2 Moderate
3 Marked
4 Severe
Insight (awareness of condition and need for treatment)
0 None/absent
1 Mild
2 Moderate
3 Marked
4 Severe
Total YMRS score
Any immediate risk concerns identified
Yes
No
Is a safety plan required
Yes
No
Clinical notes
Rater sign-off date
I confirm the above ratings reflect the patient's clinical status during the stated observation period
Yes
No
{"name":"Patient full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Patient full name, Patient ID or medical record number, Date of assessment","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration related to Young Mania Rating Scale Ymrs form template and FormCreatorAI features.

When to use this form

Use this form when you need a quick, structured check of manic symptoms in settings like outpatient visits, emergency triage, or telehealth follow-ups. It works for first-time assessments to set a baseline and for repeat visits to track change and guide medication or safety decisions. Clinicians can embed it in an intake packet for suspected bipolar disorder, or use it during stabilization to adjust dosing. If depressive or anxiety features are also present, pair it with the DASS Form to capture the full picture. When risk behaviors appear, follow with the Suicide risk assessment form. Consistent scoring lets you compare sessions and document progress for care plans, referrals, or insurance notes.

Must Ask Young Mania Rating Scale (Ymrs) Questions

  1. In the past 48 hours, how elevated or irritable has your mood been?

    Mood level is the core marker of mania; rating it sets the severity anchor for the rest of the items. It helps you triage urgency and decide on monitoring or medication changes.

  2. How many hours did you sleep last night, and have you felt a decreased need for sleep?

    Reduced sleep without fatigue signals escalating risk and often predicts functional decline. Tracking hours provides an objective metric you can compare across visits.

  3. Have others said your speech was fast, loud, or hard to interrupt?

    External feedback about pressured speech adds reliability beyond self-report. It flags social impact and helps calibrate severity.

  4. Are your thoughts racing or are you more driven to start multiple projects than usual? Give examples.

    This captures flight of ideas and goal-directed activity, two hallmarks of mania. Examples make the rating concrete and defensible in notes.

  5. Have you engaged in risky or impulsive behaviors (spending, driving, sex, substances) in the past week?

    Impulsivity raises safety concerns and may require rapid intervention or collateral checks. For a broader snapshot of comorbid factors that shape risk, add the Mental health survey form.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel