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EPDS submissions are accepted Monday - Friday from 9:00 AM - 6:00 PM ET.
Please let us know if you consent to sharing your results with The Motherhood Center:
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Your Name
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First Name
Last Name
Your Preferred Email
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example@example.com
Your Preferred Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Home Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you pregnant or postpartum?
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Pregnant
Postpartum
How many weeks pregnant/postpartum are you?
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Have you taken the EPDS with Materna before?
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Yes
No
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I have been able to laugh and see the funny side of things:
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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 often
I have felt scared or panicky for no good reason:
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Yes, quite a lot
Yes, sometimes
No, not much
No, not at all
Things have been getting to 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
No, 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 occured to me:
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Yes, quite often
Sometimes
Hardly ever
Never
Total Points: (0-6) None or minimal depression (7–13) Mild depression (14–19) Moderate depression (19–30) Severe depression
Suicidal Ideation: 0 = None 1 = Hardly Ever 2 = Sometimes 3 = Quite Often
Time
Hour Minutes
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