Sleeptastic1
New Member
- Joined
- Mar 3, 2017
- Messages
- 2
- Reaction score
- 0
Postpartum Depression Survey
Check the boxes as you answer.
1. Age Range
18 or under
19 to 25
26 to 40
41 to 60
60+
2. Was this your first full term pregnancy
Yes
No
3. Have you or anyone in your family have a history of depression
Yes
No
This past week:
4. I have been able to laugh and see the funny side of things
As much as I always could
Not quite so much now
Definitely not so much
Not at all
5. I have looked forward with enjoyment to things
As much as I ever did
Rather less than I used to
Definitely less than I used to
Hardly at all
6. I have blamed myself unnecessarily when things went wrong
Yes, most of the time I havent been able to cope at all
Yes, sometimes I havent been coping as well as usual
No, most of the time I have coped quite well
No, I have been coping as well as ever
7. I have been so unhappy that I have had difficulty sleeping
Yes, most of the time
Yes, sometimes
Not very often
No, not at all
8. I have felt sad or miserable
Yes, most of the time
Yes, sometimes
No, not very often
No, not at all
9. I have been so unhappy that I have been crying
Yes, most of the time
Yes, quite often
Only occasionally
No, never
10. The thought of harming myself has occurred to me
Yes, quite often sometimes Hardly ever Never
Check the boxes as you answer.
1. Age Range
18 or under
19 to 25
26 to 40
41 to 60
60+
2. Was this your first full term pregnancy
Yes
No
3. Have you or anyone in your family have a history of depression
Yes
No
This past week:
4. I have been able to laugh and see the funny side of things
As much as I always could
Not quite so much now
Definitely not so much
Not at all
5. I have looked forward with enjoyment to things
As much as I ever did
Rather less than I used to
Definitely less than I used to
Hardly at all
6. I have blamed myself unnecessarily when things went wrong
Yes, most of the time I havent been able to cope at all
Yes, sometimes I havent been coping as well as usual
No, most of the time I have coped quite well
No, I have been coping as well as ever
7. I have been so unhappy that I have had difficulty sleeping
Yes, most of the time
Yes, sometimes
Not very often
No, not at all
8. I have felt sad or miserable
Yes, most of the time
Yes, sometimes
No, not very often
No, not at all
9. I have been so unhappy that I have been crying
Yes, most of the time
Yes, quite often
Only occasionally
No, never
10. The thought of harming myself has occurred to me
Yes, quite often sometimes Hardly ever Never
