Edinburgh Postnatal Depression Screening (EPDS)

Edinburgh Prenatal/Postnatal Depression Scale (EPDS)
Thank you for taking the time to complete the Edinburgh Prenatal/Postnatal Depression Scale (EPDS) screening tool. Taking care of your mental health is top priority! Your willingness to submit a completed screening tool indicates your consent to participate; a Wood County Health Department nurse will review your responses. Any information provided will remain confidential. A positive screen will include a phone call follow-up from a Wood County Public Health Nurse.
Name*

First NameLast Name
Your Date of Birth*

MonthDayYear
PregnantPostpartumBirth Loss

Baby's Due Date*

MonthDayYear
Baby's Date of Birth*

MonthDayYear
Phone Number*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
As you are pregnant, have recently had a baby, or are grieving the loss of a baby, we would like to know how you are feeling. Please check the answer closest to how you have felt IN THE PAST 7 DAYS, not just how you feel today.

Here is an example, already completed.

I have felt happy:
- Yes, all the time
- Yes, most of the time
- No, not very often
- No, not at all
This would mean: "I have felt happy most of the time" during the past week. Please complete the other questions in the same way.
In the past 7 days:
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 nowNo, not at all
2. I have looked forward with enjoyment to things*

As much as I ever didRather less than I used toDefinitely less than I used toHardly 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 no 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 oftenNot very oftenNo, not at all
10. The thought of harming myself has occurred to me*

Yes, quite oftenSometimesHardly everNever
11. If you have any other mental health concerns, such as anxiety, please write them below so we can better meet your needs:
Who are you working with?*
Score
Source:

Medical College of Wisconsin. (2019). EPDS Evaluation and Treatement Algorithm. Retreived from: https://the-periscope-project.org/-/media/MCW/Periscope-Project/Resources/Edinburgh-Postnatal-Depression-Scale-EPDS.pdf
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Edinburgh Prenatal/Postnatal Depression Scale (EPDS)