EPDS Questionnaire

As you are pregnant or have recently had a baby, we would like to know how you are feeling. Please check the answer that comes closest to how you have felt INTHE PAST 7 DAYS, not just how you feel today.

Date form completed

Date

Name

First Name Last Name

1. I have been able to laugh and see the funny side of things

As much as I always could Not quite as much now Definitely not so much now Not at all

2. I have looked forward with enjoyment to things

As much as I ever did Rather less then I used to Definitely less than I used to Hardly at all

3. I have blamed myself unnecessarily when things went wrong*

Yes, most of the time Yes, some of the time Not very often No, never

4. I have been anxious or worried or no good reason

No, not at all Hardly ever Yes, sometimes Yes, very often

5. I have felt scared or panicky for no very good reason*

Yes, quite a lot Yes, sometimes No, not much No, not at all

6. Things have been getting on top of me*

Yes, most of the time I have not been able to cope at all Yes, sometime I have not 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, quite often 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