Mothers Depression Attitude Survey

The Mothers Depression Attitude Survey is a tool used by healthcare providers to assess a mother's attitudes and beliefs about her own depression. The survey consists of questions that focus on a mother's perceptions of her own depression symptoms, her level of social support, her beliefs about treatment options, and her overall outlook on her condition.

Time to complete

2 minutes

Eligibility

To be eligible to fill out the Mothers Depression Attitude Survey, a mother must be 18 years of age or older and must have a diagnosis of postpartum depression.

Not the Template you are looking for?
Request new template
Not the Template you are looking for?
Request new template

Questions for Mothers Depression Attitude Survey

1.

How often have you felt down, depressed, or hopeless in the past week?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
2.

How often have you felt little interest or pleasure in doing things in the past week?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
3.

How often have you had trouble sleeping or sleeping too much in the past week?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
4.

How often have you felt tired or had little energy in the past week?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
5.

How often have you felt bad about yourself or that you are a failure or have let yourself or your family down in the past week?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
6.

How often have you had trouble concentrating on things, such as reading the newspaper or watching television in the past week?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
7.

How often have you moving or speaking so slowly that other people could have noticed, or the opposite, being so fidgety or restless that you have been moving around a lot more than usual in the past week?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
8.

How often have you had thoughts that you would be better off dead or of hurting yourself in some way in the past week?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
9.

In the past week, how much of the time did depression keep you from doing your usual activities?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
10.

How much did your depression symptoms interfere with taking care of your home or family in the past week?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
11.

How much did your depression symptoms interfere with your work or school performance in the past week?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
12.

How much did your depression symptoms interfere with your social life or hobbies in the past week?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always

Similar Ideas

  • The Prenatal Depression Attitude Scale
  • The Postpartum Depression Attitude Scale
  • The Depression Attitude Scale for Parents

Here are some FAQs and additional information
on
Mothers Depression Attitude Survey

How many mothers are depressed?

There is no definitive answer to this question as it depends on a number of factors, including the definition of depression used. However, according to a study by the National Center for Health Statistics, approximately 12% of mothers reported experiencing depression.

What factors are associated with increased risk for depression among mothers?

There are a number of factors that have been associated with increased risk for depression among mothers, including low socioeconomic status, lack of social support, history of depression, and stressful life events.

What are the consequences of depression among mothers?

Depression among mothers can lead to a number of negative consequences, including impaired maternal-infant bonding, poorer child health and development, and increased risk of child abuse and neglect.

What can be done to prevent or reduce depression among mothers?

There are a number of interventions that have been shown to be effective in preventing or reducing depression among mothers, including social support, cognitive-behavioral therapy, and anti-depressant medication.

Want to use this template?

Loved by people at home
and at work

“BlockSurvey is a simple, effective, and scalable tool for creating surveys for leadership and learning assessment. It's one of this year's best buying choices. Each month, it keeps improving and strives to serve its customers needs.”
Nelson Emilio
Personal Branding Strategist
“I use BlockSurvey to get feedback about all my activities and events. It is really easy to get started and create my first surveys! Then I could see how easy it was to share them. Now I am thinking to use BlockSurvey also within my creative process as an author in order to listen and engage with my audience, knowing that anonymity provides the most sincere and reliable answers.”
Georgina García-Mauriño
Author & Designer
BlockSurvey social proof
G2 Crowd
4.8 Star Rating
BlockSurvey social proof
Dapp.com
Editor's choice
BlockSurvey social proof
Capterra
4.9 Star Rating

What's next? Try out templates like
Mothers Depression Attitude Survey

1000+ Templates, 50+ Integrations

Want to create secure online forms and surveys?

Join BlockSurvey.

SHARE