Anxiety during pregnancy - Survey

[adriana2thesi]

Hello everyone, I'm currently studying to be a doctor and I'm doing a research on anxiety during pregnancy, if you could be so kind to answer the following survey, it would help me greatly. If you have any doubts when answering the survey just let me know and I'll immediately help you.

Perinatal Anxiety Screening Scale (PASS)

Choose one of the possible answers for this questions:

a. Age:
b. Marital Status (+Married / living with spouse or +Other)
c. Education (+High school or +Associate/ Bachelors )
d. Occupation (+Housewife or +Working)
e. Week of pregnancy you are currently on:
f. Number of pregnancy’s before this one:
g. Complications during the pregnancy
h. Unplanned pregnancy (+Yes or +No )
i. Are you financially sound? (+Yes or +No)
j. Was there an occurrence of domestic violence? (+Yes or +No)
k. Is there family support? (+Yes or +No)


Over the past month, how often have you experienced the following?
Answer the following questions on a scale that most closely describes your experience for every question:

(1) Not at all (2) Sometimes (3) Often (4) Almost always

1. Worry about the baby/pregnancy
2. Fear that harm will come to the baby
3. A sense of dread that something bad is going to happen
4. Worry about many things
5. Worry about the future
6. Feeling overwhelmed
7. Really strong fears about things, eg needles, blood, birth, pain, etc
8. Sudden rushes of extreme fear or discomfort
9. Repetitive thoughts that are difficult to stop or control
10. Difficulty sleeping even when I have the chance to sleep
11. Having to do things in a certain way or order
12. Wanting things to be perfect
13. Needing to be in control of things
14. Difficulty stopping checking or doing things over and over
15. Feeling jumpy or easily startled
16. Concerns about repeated thoughts
17. Being 'on guard' or needing to watch out for things
18. Upset about repeated memories, dreams or nightmares
19. Worry that I will embarrass myself in front of others
20. Fear that others will judge me negatively
21. Feeling really uneasy in crowds
22. Avoiding social activities because I might be nervous
23. Avoiding things which concern me
24. Feeling detached like you're watching yourself in a movie
25. Losing track of time and can't remember what happened
26. Difficulty adjusting to recent changes
27. Anxiety getting in the way of being able to do things
28. Racing thoughts making it hard to concentrate
29. Fear of losing control
30. Feeling panicky
31. Feeling agitated

Thank you so much for your help!

 

[HappyWife90]

Is there a way to submit privately?

 

[adriana2thesi]

Is there a way to submit privately?

Of course! If you could be so kind to send me, via private message, your answers that would be awesome.