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. Author manuscript; available in PMC: 2010 Jan 13.
Published in final edited form as: J Psychosom Obstet Gynaecol. 2008 Dec;29(4):262–267. doi: 10.1080/01674820802546220
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