Welcome to your Perinatal Wellness Questionnaire

This is a wellness scale assessment questionnaire designed for new and expecting mothers.
Firstly, please enter your name and email address below in order to allow for the results to be sent to you via email.
Click "next" to begin the questionnaire.

Full Name
Email

Depression Scale - Part 1


We would like to know how you have been feeling in the past week. Please indicate which of the following comes closest to how you have been feeling over the past seven days, not just how you feel today. Please tick one circle for each question that comes closest to how you have felt in the last seven days.
Q1. I have been able to laugh and see the funny side of things

Q2. I have looked forward with enjoyment to things

Q3. I have blamed myself unnecessarily when things went wrong

Q4. I have been anxious or worried for no good reason

Q5. I have felt scared or panicky for no very good reason

Q6. Things have been getting on top of me

Q7. I have been so unhappy that I have had difficulty sleeping

Q8. I have felt sad or miserable

Q9. I have been so unhappy that I have been crying

Q10.The thought of harming myself has occurred to me