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1 MONTH POSTNATAL QUESTIONNAIRE
Please check the answer that comes closest to how you have felt IN THE PAST 7 DAYS, not just how you feel today.
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Email
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Your email
PATIENT'S NAME
*
Your answer
MOM'S NAME
*
Your answer
I have been able to laugh and see the funny side of things.
*
As much as I always could
Not quite so much now
Definitely not so much now
Not at all
I have looked forward with enjoyment to things
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As much as I ever did
Rather less than I used to
Definitely less than I used to
Hardly at all
I have blamed myself unnecessarily when things went wrong
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Yes, most of the time
Yes, some of the time
Not very often
No, never
I have been anxious or worried for no good reason
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No, not at all
Hardly ever
Yes, sometimes
Yes, very ofter
I have felt scared or panicky for no very good reason
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Yes, quite a lot
Yes, sometimes
No, not much
No, not at all
Things have been getting on top of me
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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
I have been so unhappy that I have had difficulty sleeping
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Yes, most of the time
Yes, sometimes
Not very often
No, not at all
I have felt sad or miserable
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Yes, most of the time
Yes, quite often
Not very often
No, not at all
I have been so unhappy that I have been crying
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Yes, most of the time
Yes, quite often
Only occasionally
No, never
The thought of harming myself has occurred to me
*
Yes, quite often
Sometimes
Hardly ever
Never
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