EPDS Questionnaire

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 NameLast Name

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

As much as I always couldNot quite as much nowDefinitely not so much nowNot at all

2. I have looked forward with enjoyment to things

As much as I ever didRather less then I used toDefinitely less than I used toHardly at all

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

Yes, most of the timeYes, some of the timeNot very oftenNo, never

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

No, not at allHardly everYes, sometimesYes, very often

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

Yes, quite a lotYes, sometimesNo, not muchNo, 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 allYes, sometime I have not been coping as well as usualNo, most of the time I have coped quite wellNo, I have been coping as well as ever

7. I have been so unhappy that I have had difficulty sleeping*

Yes, most of the timeYes, sometimesNot very oftenNo, not at all

8. I have felt sad or miserable*

Yes, most of the timeYes, quite oftenNot very oftenNo, not at all

9. I have been so unhappy that I have been crying*

Yes, most of the timeYes, quite oftenOnly occasionallyNo, never

10. The thought of harming myself has occurred to me*

Yes, quite oftenSometimesHardly everNever