This form is not a diagnostic instrument and is only to be used within the context of your medical treatment and by you if you are greater than 18 years old. Share your checklist responses and assessment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material.

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Privacy Policy

This Privacy Policy applies to the M3 Information Website. Any use of this site constitutes your agreement to this Privacy Policy. Introduction M3 Information is strongly committed to protecting your privacy. This Privacy Policy outlines our privacy practices as well as choices you can make regarding the way your information is collected and used. Using this website indicates that you are in agreement with the terms indicated in this Privacy Policy. Collecting User Information As you navigate our website, we may collect some information about you. We do not collect personal information unless you voluntarily provide it to us. By “personal information” we mean data that is unique to an individual, such as a name, address, or telephone number. Any information we collect is used solely for the purpose stated on the page where it is collected. (In some cases and in all cases where required by law or regulation, you will be able to update the information that you provide to us either by sending us an e-mail or, where you have established personal profiles with us, by updating your profile online. Please refer to the specific pages where data is collected for more information.) From time to time, we may request personal information from you at our Website in order to deliver requested materials to you or respond to your questions. We may use what is known as “cookie” technology to collect certain information that does not identify you personally but provides us with “usage data.” With this technology, we are able to recognize repeat users, track usage patterns and identify which pages are visited often. This helps us to analyze and improve the usefulness of the information we provide as well as to better serve you when you return to our website. Sharing User Information M3 Information will not sell, license, transmit or disclose your information outside of M3 Information and its affiliated companies unless such disclosure is: (i) expressly authorized by you, (ii) necessary to enable M3 Information contractors or agents to perform certain functions on our behalf, or (iii) required or permitted by law. In all cases we will disclose the information consistent with applicable laws and regulations and we will require that the recipient protects the information and uses it only for the purpose it was provided. Email We welcome your comments or questions about our Website and have provided e-mail addresses for that purpose. We will share your comments and questions with our customer service representatives and those employees most capable of addressing your questions and concerns. Your e-mail, like most, if not all, non-encrypted Internet e-mail communications, may be accessed and viewed by other Internet users, without your knowledge and permission, while in transit to us. For that reason, to protect your privacy, please do not use e-mail to communicate information to us that you consider confidential. If you wish, you may contact us instead via non-cellular telephone at the numbers provided at various locations on our website. Links to other sites Our website may contain links to other sites not owned or controlled by M3 Information. Please review carefully the privacy policies of those sites before volunteering any personal info. We are not responsible for nor can we control the privacy practices of any other websites. Links to non-M3 Information websites do not constitute or imply endorsement by M3 Information of these websites, any products or services described on these sites, or of any other material contained in them. User Choices You will also be able to view, edit and update your profile information online whenever needed. Safeguarding User Information M3 Information has adopted and adheres to stringent security standards designed to protect non-public personal information against accidental loss, misuse, unauthorized access and disclosure. Among the safeguards that M3 Information has developed for this site are administrative, physical and technical barriers that together form a protective firewall around the information stored at our site. Changes to this Privacy Policy As we continue to improve our services and features we provide, this policy is subject to change. We encourage you to periodically reread this Policy to see if there have been any changes that may affect you. This Privacy Policy is not intended to and does not create any contractual or other legal rights on behalf of any party.

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This form is not a diagnostic instrument and is to be used solely within the context of your medical treatment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material. My Mood Monitor™ V.03.06 Copyright © 2002-2012 by M3 Information™, The M-3 Checklist and are free for personal home use. For any other uses, including clinical., educational, non-profit, hospital research, or for-profit settings please contact No further reproduction or distribution, or reverse engineering is permitted without written permission from M3 Information. Patent Pending.