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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.


TOTAL SCORE:

Location

West Suburban Women's Health Ltd.
545 Plainfield Roads Suite C
Willowbrook, IL 60527
(630) 654-2229

Office Hours

Office Hours are by Appointment
Monday-Thursday 8:00am-7:00pm
Friday 8:00am-3:00pm

Contact

24 Hour Answering Service:
Phone: (630) 654-2229
Fax: (630) 655-3270