We are planning to update and improve our services to pregnant women, new mums who need mental health support. In doing so it would be helpful to understand what a service should be like and would work best for women and their families. This short questionnaire below will help us to gather valuable information and opinions, which will help to inform any future service development.We really value your contribution and are grateful for your time.

If you are a partner, there are some questions specifically for you from question 13.

If during or after completing the questionnaire you would like to talk to someone about anything relating to your wellbeing please contact your Community Midwife, GP or you can self-refer to Improving Access to Psychological Therapies (IAPT) via NHS Choices: http://www.nhs.uk

* 1. Have you had mental health problems but not yet had a pregnancy? 

* 2. Are you currently pregnant?

* 3. How recently did you give birth?

* 4. Before your pregnancy did you have a mental health condition?

* 5. If you took medication for a mental health condition before pregnancy, did you continue to take it during pregnancy?

* 6. If you stopped taking medication, what advice were you given about this? Please state what this was and who gave the advice.

* 7. During your pregnancy did a health professional ask you about any of the following (tick as many as apply):

* 8. During pregnancy or after having your baby, how often were you asked about your mental health?

* 9. During pregnancy or after having your baby, if you were asked about your mental health were your responses truthful?

* 10. If you were asked about your mental health and your responses were not truthful, what would have helped you to talk about your mental health?

* 11. If you were able to talk about your mental health and did identify problems did you feel supported?

* 12. During pregnancy or after having your baby, if you or your partner were offered medication, did you accept the medication?

* 13. Were you ever asked about any concerns you had about you or your partner’s mental health or wellbeing?

* 14. Do you think there should there be support for you or your partner who has mental health concerns?

* 15. Did you talk to, or would you have felt comfortable talking about how you felt with any of these health professionals listed below (please tick as many as apply):

* 16. Is there a reason why you wouldn’t have felt comfortable talking to a health professional about how you were feeling? (please tick as many as apply)

* 17. What would have encouraged you to talk to someone about how you were feeling?

* 18. What support would you have found helpful?

* 19. Who would you like to provide that support?

* 20. If you needed professional mental health support where do you think it should be based?

* 21. If you needed professional mental health support what time of day do you feel would be best? (Please tick all that apply)

* 22. If you received support, were there any barriers or difficulties to you accessing it and if so what were they? (Please tick all that apply)

* 23. What is your ethnicity?

* 24. What is your gender?

* 25. What is your sexual orientation?

* 26. What is your religion or belief?

* 27. Do you consider yourself to have a disability or mental health condition? Please tick most appropriate

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