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Questionnaire for Mums

If you have recently had a baby, we would like to know how you are feeling

Please fill out the personal details section, then tick the answer that comes closest to how you have felt in the past seven days, not just how you feel today

Personal details
About how you are feeling
1. I have been able to laugh and see the funny side of things (required)
2. I have looked forward with enjoyment to things (required)
3. I have felt scared or panicky for no very good reason (required)
4. Things have been getting on top of me (required)
5. I have been so unhappy that I have had difficulty sleeping (required)
6. I have blamed myself unnecessarily when things went wrong (required)
7. I have been anxious or worried for no good reason (required)
8. I have felt sad or miserable (required)
9. I have been so unhappy that I have been crying (required)
10. The thought of harming myself has occurred to me (required)
Privacy notice
The data on this form will be treated as confidential and will not be shared with anyone outside the research team. We will only use the details given to contact you regarding participation in the study.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at

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Got a question? Contact:

Mrs Sukhdev Sembi

Research Director
+44 (0)2476 150 508