Antenatal Questionnaire

Due to the nature of your appointment, we will require you to complete 2 questionnaires (EPDS + ANRQ). The questions below are designed to help you and your doctor understand whether you may benefit from some extra support during this time of change. You may find some questions challenging, but please choose the answers that best apply to you. There are no right or wrong answers.

Edinburgh Antenatal Depression Scale (EPDS)

We would like to know how you have been feeling in the past week. Please indicate which of the following comes closest to how you have felt in the past week, not just how you feel today. Please TICK for each question, which is the closest to how you have felt in the PAST SEVEN DAYS.

Psychosocial Risk Questionnaire (ANRQ)

Please complete all questions, unless instructed to SKIP a question. Once you have completed the questions, your doctor will discuss your responses with you. If you have any concerns about any of the questions, please let your doctor know.

* If No, skip to 1c. If Yes, please answer 1a, 1b, and 1c.

* If No, skip to 4. If Yes, please answer 3a

Now you are having your own baby, you may be starting to think about your own childhoods and what it was like:
and finally....

We acknowledge the Traditional Owners and Custodians of the lands on which we live and work. We pay our respects to Indigenous Elders past, present and emerging. Sovereignty has never been ceded. It always was and always will be Aboriginal land.
We are committed to providing an inclusive and safe environment for all people, regardless of race, religion, language, background, age, ability, gender identity or sexual orientation. Everyone deserves respect and the opportunity for a healthy life.