Table 2.
(1) In the last 24 hours, for how long have you felt nauseated or sick at your stomach? | Not at all (1) |
1 hour or less (2) |
2-3 hours (3) |
4–6 hours (4) |
More than 6 hours (5) |
No symptoms: 3 Mild: ≤6 Moderate: 7–12 |
(2) In the last 24 hours, have you vomited or thrown up? | 7 or more times (5) |
5-6 (4) |
3-4 (3) |
1-2 (2) |
I did not throw up (1) |
Severe: 13–15 |
(3) In the last 24 hours, how many times have you had retching or dry heaves without bringing anything up? | No time (1) |
1-2 (2) |
3-4 (3) |
5-6 (4) |
7 or more (5) |
Total score: — |
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How many hours have you slept out of 24 hours? | ||||||
Why? — | ||||||
On a scale of 0 to 10, how would you rate your well-being? | ||||||
0 (worst possible)–10 (the best you felt before pregnancy) | ||||||
Can you tell me what causes you to feel that way? — |