0 = Not at all |
1 = Somewhat |
2 = Quite a bit |
|
|
3 = A great deal |
How much have each of the following made you feel happy, positive, or uplifted?
|
1. How much the baby is moving |
0 |
1 |
2 |
3 |
2. Discussions with spouse about baby names |
0 |
1 |
2 |
3 |
3. Comments from others about your pregnancy/appearance |
0 |
1 |
2 |
3 |
4. Making or thinking about nursery arrangements |
0 |
1 |
2 |
3 |
5. Feelings about being pregnant at this time |
0 |
1 |
2 |
3 |
6. Visits to obstetrician/midwife |
0 |
1 |
2 |
3 |
7. Spiritual feelings about being pregnant |
0 |
1 |
2 |
3 |
8. Courtesy/assistance from others because you are pregnant |
0 |
1 |
2 |
3 |
9. Thinking about the baby's appearance |
0 |
1 |
2 |
3 |
10. Discussions with spouse about pregnancy/childbirth issues |
0 |
1 |
2 |
3 |
How much have each of the following made you feel unhappy, negative, or upset?
|
1. Getting enough sleep |
0 |
1 |
2 |
3 |
2. Physical intimacy |
0 |
1 |
2 |
3 |
3. Normal discomforts of pregnancy (heartburn, incontinence) |
0 |
1 |
2 |
3 |
4. Your weight |
0 |
1 |
2 |
3 |
5. Body changes due to pregnancy |
0 |
1 |
2 |
3 |
6. Thoughts about whether the baby is normal |
0 |
1 |
2 |
3 |
7. Thinking about your labor and delivery |
0 |
1 |
2 |
3 |
8. Ability to do physical tasks/chores |
0 |
1 |
2 |
3 |
9. Concerns about physical symptoms (pain, spotting, etc.) |
0 |
1 |
2 |
3 |
10. Clothes/shoes don't fit |
0 |
1 |
2 |
3 |