Appearance Select Well-groomed and appropriately dressed Casually dressed Disheveled Poor hygiene Bizarre
Behavior Select Calm and cooperative Guarded Withdrawn Hostile Bizarre
Eye contact Select Good Fair Poor Avoidant Intense
Psychomotor activity Select Normal Agitated Retarded Restless Tremulous Catatonic
Speech rate Select Normal Slow Rapid Pressured
Speech volume Select Normal Soft Loud
Speech quantity Select Normal Minimal Excessive
Speech quality Select Clear Slurred Dysarthric Aphasic Monotone
Mood Select Euthymic Depressed Anxious Irritable Euphoric Angry Hopeless
Affect range Select Full Restricted Blunted Flat Labile
Affect congruence Select Congruent Incongruent
Thought process Select Linear, logical, and goal-directed Circumstantial Tangential Flight of ideas Loose associations Thought blocking Disorganized
Thought content Select No delusions or abnormal preoccupations Paranoid delusions Grandiose delusions Somatic delusions Ideas of reference Obsessions/preoccupations
Perceptual disturbance Select None Auditory hallucinations Visual hallucinations Command hallucinations Derealization Depersonalization
Orientation Select Oriented ×4 Oriented ×3 Oriented ×2 Oriented ×1 Disoriented
Attention Select Intact Mildly impaired Impaired Unable to assess
Memory Select Grossly intact Recent memory impaired Remote memory impaired Global impairment Unable to assess
Fund of knowledge Select Average Above average Below average Unable to assess
Insight Select Good Fair Poor Absent
Judgment Select Good Fair Poor Severely impaired
Suicidal ideation Select None Passive thoughts Active, no plan Active with plan Active with intent
Homicidal ideation Select None Passive thoughts Active, no plan Active with plan Active with intent
Access to lethal means Select No Unknown Yes