Brief MSE Psychology

MSE [date name="date" default="date"]
Appearance & Behaviour:[textarea default="Grooming, Dress and Hygiene" cols="60" rows="1"]
Eye Contact:[select value="-| Normal| Avoidant| Intense| Distant"], Body Movement: [textarea default="Gait, Psychomotor Activity & Abnormal Movement" cols="60" rows="1"]
Attitude: [select value="-|Cooperative |Hostile |Overly Friendly |Secreteive |Evasive |Suspcious |Apathetic |Easily Distracted |Focused |Defensive |Demanding |Seductive"]. [textarea cols="20" rows="1"]
Speech:[select value="-| Normal| Abnormalities Present"] [textarea cols="60" rows="1"]
Mood Reported As:[textarea cols="20" rows="1"], Mood Observed As: [select value="-| Euthymic| Anxious| Depressed| Irritable | Euphoric| Angry| Indifferent| Detatch"], 
Mood/Affect Congruence: [select value="-| Congruent| Incongruent"], Mood Stability: [select value="-| Fixed| Labile"] [textarea cols="20" rows="1"]
Perception: [select value=" -| Intact| Abnormalities Present"] [textarea default="Hallucinations, Depersonalisation, Derealisation"  cols="50" rows="1"]
Thought Form: [select value=" -| Connected, Coherent and Logical| Circumstancial| Tangential| Flight of Ideas| Loosening Association| Thought Blocking| Word Salad| Echolalia| Neologisms"],[textarea cols="20" rows="1"]
Delusions Present: [select value=" -| None Present| Yes, Strong Beliefs| Yes, Paranoid Delusions| Yes, Delusions of Grandeur"],[textarea cols="60" rows="1"]
Suicidal Ideation: [select value=" -| Declines Suicidal Ideation, Planning and Intent| Passive Suicidality| Reports Active Ideation without Planning or Intent| Reports Active Ideation and Planning without Intent| Reports Active Ideation, Planning and Intent"],[textarea cols="20" rows="1"]
Deliberate Self Harm: [select value=" -| Declines Deliberate Self Harm Behaviours| Passive Self Harm| Reports Active Deliberate Self Harm"],[textarea cols="20" rows="1"]
Harm to Others: [select value=" -| Declines Risk of Harm to Others| Reports Ideations of Harming Others| Reports Active Plan and Intent to Harm Others"],[textarea cols="20" rows="1"]
Insight: [select value=" -| Good| Partial| Poor"],[textarea cols="20" rows="1"] Judgement: [select value=" -| Good| Partial| Impaired"],[textarea cols="20" rows="1"]
Orientation to Person, Place and Time: [select value=" -| Yes| No"],[textarea cols="20" rows="1"]
Level of Consciousness: [select value=" -| Alert| Confused| Lethargic| Intoxicated| Stuporous"],[textarea cols="20" rows="1"]
Memory: [select value=" -| Intact ability to recall Recent and Remote Information| Difficulty with Remote Information| Difficulty with Recent Information"],[textarea cols="20" rows="1"] 
MSE
Appearance & Behaviour:

Eye Contact:, Body Movement:

Attitude: .

Speech:

Mood Reported As:
, Mood Observed As: ,
Mood/Affect Congruence: , Mood Stability:

Perception:

Thought Form: ,

Delusions Present: ,

Suicidal Ideation: ,

Deliberate Self Harm: ,

Harm to Others: ,

Insight: ,
Judgement: ,

Orientation to Person, Place and Time: ,

Level of Consciousness: ,

Memory: ,

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.51, 35 form elements, 45 boilerplate words, 17 text areas, 1 dates, 17 drop downs, 35 total clicks
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