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Admin: EPDS (remote)Michael2025-05-02T09:49:16-05:00

EPDS ASSESSMENT

"*" indicates required fields

Patient's Name*

First Last

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Score

Patient's Date of Birth*

Month

Day

Year

Mother's Name*

First Last

During the past seven days...

1. I have been able to laugh and see the funny side of things*

As much as I always could

Not quite so much now

Definitely not so much now

Not at all

2. I have looked forward with enjoyment to things*

As much as I ever did

Rather less than I used to

Definitely less than I used to

Hardly at all

3. I have blamed myself unnecessarily when things went wrong*

No, never

Not very often

Yes, some of the time

Yes, most of the time

4. I have been anxious or worried for no good reason*

No, not at all

Hardly ever

Yes, sometimes

Yes, very often

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

No, not at all

No, not much

Yes, sometimes

Yes, quite a lot

6. Things have been getting on top of me*

No, I have been coping as well as ever

No, most of the time I have coped quite well

Yes, sometimes I haven't been coping as well as usual

Yes, most of the time I haven't been able to cope at all

7. I have been so unhappy that I have had difficulty sleeping*

No, not at all

Not very often

Yes, sometimes

Yes, most of the time

8. I have felt sad or miserable*

No, not at all

Not very often

Yes, quite often

Yes, most of the time

9. I have been so unhappy that I have been crying*

No, never

Only occasionally

Yes, quite often

Yes, most of the time

10. The thought of harming myself has occurred to me*

Never

Hardly ever

Sometimes

Yes, quite often

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