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 (0)
Not quite so much now (1)
Definitely not so much now (2)
Not at all (3)
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As much as I ever did (0)
Rather less than I used to (1)
Definitely less than I used to (2)
Hardly at all (3)
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Yes, most of the time (3)
Yes, some of the time (2)
Not very often (1)
No, never (0)
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No, not at all (0)
Hardly ever (1)
Yes, sometimes (2)
Yes, very often (3)
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Yes, quite a lot (3)
Yes, sometimes (2)
No, not much (1)
No, not at all (0)
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Yes, most of the time I haven't been able to cope at all. (3)
Yes, sometimes I haven't been coping as well as usual (2)
No, most of the time I have coped quite well. (1)
No, I have been coping as well as ever. (0)
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Yes, most of the time (3)
Yes, sometimes (2)
Not very often (1)
No, not at all (0)
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Yes, most of the time (3)
Yes, quite often (2)
Not very often (1)
No, not at all (0)
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Yes, most of the time (3)
Yes, quite often (2)
Only occasionally (1)
No, never (0)
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Yes, quite often (3)
Sometimes (2)
Hardly ever (1)
Never (0) |
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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