Depression Screening
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 IN THE PAST 7 DAYS, not just how you feel today. (All fields are required.)
In the last 7 days:
As much as I always could
Not quite so much now
Definitely not so much now
Not at all
|
As much
as I ever did
Rather less than I used to
Definitely less than I used to
Hardly at all
|
Yes, most of the time
Yes, some of the time
Not very often
No, never
|
No, not at all
Hardly ever
Yes, sometimes
Yes, very often
|
Yes, quite a lot
Yes, sometimes
No, not much
No, not at all
|
Yes, most of the time I haven't been able to cope at all.
Yes, sometimes I haven't 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.
|
Yes, most of the time
Yes, sometimes
Not very often
No, not at all
|
Yes, most of the time
Yes, quite often
Not very often
No, not at all
|
Yes, most of the time
Yes, quite often
Only occasionally
No, never
|
Yes, quite often
Sometimes
Hardly ever
Never |
|
|
If you have had ANY thoughts of harming yourself or your baby, or you
are having hallucinations please tell your
doctor or your midwife immediately OR GO TO YOUR NEAREST HOSPITAL EMERGENCY ROOM.
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TOTAL SCORE: |
(630) 654-2229