Test Survey Pregnancy Survey Have you had a medical condition develop during or after pregnancy?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Have you experienced digestive issues that have worsened since the birth of your child (may include constipation, diarrhea, flatulence, abdominal pain, and/or lethargy associated with meals.)(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Do you experience severe fatigue?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Do you feel exhausted upon waking?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Do you fall asleep unintentionally when putting your children to bed?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Are you sensitive to light (or sound) or easily startled?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Are you experiencing levels of anxiety that are above your norm?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Do you feel you are a "light sleeper" or overly aware while sleeping?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Do you experience a loss of libido and a lack of desire for sex?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Do you experience severe brain fog?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Are you struggling to maintain basic self-care, such as showering, grooming, and preparing meals for yourself?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Are you experiencing a significant loss of confidence and self-esteem?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Do you have a sense of isolation and lack of support?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Do you feel that "there is no time for me"?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Do you feel overwhelmed and unable to cope?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Do you feel a sense of guilt/shame or failure around your role as a mother?(Required) 0 No 1 Sometimes 2 Frequently 3 All the time Total Score A score of 20 or more: Postpartum depletion is very likely A Score of 15-19: Postpartum depletion likely A score below 15: Postpartum depletion unlikely Δ
