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Request for The Child Bipolar Questionnaire (CBQ)

To access the CBQ, information on the development and scoring of the CBQ, and Research Diagnostic Criteria for the Core Phenotype, please complete this contact form and click the submit button.


First Name:
Last Name:
Child's First Name:
Zip Code:
Email (Please confirm):
Please choose a password so that you may login to your JBRF account in the future (your email address above will be your User ID):
By checking this box I understand that I will be added to the JBRF mailing list. The JBRF may use the mailing list to communicate with me about research findings and its products and services. I can unsubscribe from the mailing list at anytime.
I will allow JBRF to use the information provided on this questionnaire for research purposes. I understand that the information will remain anonymous.

The Child Bipolar Questionnaire may be found online at the Web site of the Juvenile Bipolar Research Foundation www.jbrf.org.


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