EPDS-English

7789 Southwest Fwy, Suite 400, Houston, TX 77074 I (832) 649-4273

Date*

Date

Name*

First NameLast Name

DOB*

Date

The Edinburgh Postnatal Depression Scale

Reproduced with permission

Since you are either pregnant or have recently had a baby, we want to know how you feel. Please place a CHECK MARK in the box by the answer that comes closest to how you have felt IN THE PAST SEVEN (7) DAYS-not just how you feel today.

1. I have been able to laugh and see the funny side of things.*

As much as I always couldNot quite so much nowDefinitely not so much nowNot at all

2. I have looked forward with enjoyment to things.*

As much as I ever didRather less than I used toDefinitely not so much nowHardly at all

3. * I have blamed myself unnecessarily when things went wrong.*

Yes, most of the timeYes, some of the timeNot very oftenNo, never

4. I have been anxious or worried for no good reason.*

No, not at allHardly everYes, sometimesYes, very often

5. * I have felt scared or panicky for not very good reason.*

Yes, quite a lotYes, SometimesNo, not muchNo, not at all

6. * Things have been getting on top of me.*

Yes, most of the time I haven't been able to cope at allYes, sometimes I haven't been coping as well as usualNo, most of the time I have coped quite wellNo, I have been coping as well as ever

7. * I have been so unhappy that I have had difficulty sleeping.*

Yes, most of the timeYes, sometimesNot very oftenNo, not at all

8. * I have felt sad or miserable.*

Yes, most of the timeYes, quite oftenNot very oftenNo, not at all

9. * I have been so unhappy that I have been crying.*

Yes, most of the timeYes, quite oftenOnly occasionallyNo, never

10.* The thought of harming myself has occurred to me.*

Yes, quite oftenSometimesHardly everNever