1 in 7 mothers and 1 in 10 dads will experience some type of pregnancy related depression or anxiety (PRDA). We want to hear your voice! Nobody understands the experiences, feelings and needs of PRDA like those who have lived it.  We would like to learn from you about what was helpful, what wasn’t, and what you wish was available. 

The following are some of the symptoms that may be experienced around the birth of a child.
·         Frequent crying, sadness, worry, anger, feelings of worthlessness or hopelessness
·         Lack of energy for everyday tasks and trouble sleeping even when the baby is asleep
·         Sense of stress that interferes with daily life
·         Loss of interest in food or preoccupation with eating
·         Loss of interest in self-care or lack of pleasure in most or all activities
·         Loss of concentration or difficulty making decisions
·         Excessive worry about the baby or feeling disconnected from the baby
·         In some cases, thoughts of suicide or harming yourself or the baby

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* 1. Who were the best supports for you while experiencing PRDA – select all that apply

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* 2. Other parents have found these services to be helpful. Please select any that you would be interested in, rating from not interested to very interested.

  Not Interested Somewhat interested Not sure Somewhat interested Very Interested
Parent to Parent Support Groups
Counseling/Educational Group
Individual therapy/counseling
Coping strategies and self-care

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* 3. If you attended a support group would you prefer, in person, by phone, on Facebook or other?

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* 4. Are there any obstacles to obtaining supports?
If yes, what were they? Select all that apply.

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* 5. Is there anything else that you feel we should know that was not included in this survey? 

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* 6. Would you be willing to join in a focus group to talk about your experience and what services would meet your needs? 
If yes, contact information

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* 7. Would you like a member of our Maternal Wellness team to contact you about services in our area?
If yes, what is the best way for us to contact you.

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* 8. Contact information for question 7.

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* 9. Would  you like to be added to our survey drawing? If yes please add your contact information.

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