File created by user 'bos2' at Sat Mar 24 11:47:03 2018
Participant ID
I agree to the items listed above and consent to participating in this project.
1. How would you describe your gender?
If you selected Other, please specify if you wish (optional):
2. How would you describe your ethnicity? Choose one option that describes your ethic group best.
3. How would you describe your marital status?
4. What is the highest level of schooling you have completed?
5. What is your current employment status?
7. How old are you?
8b) Have you experienced a stillbirth (at 24 weeks of pregnancy or later) or an early miscarriage (before 12 weeks of pregnancy) between 24 months and 6 years ago? If you have experienced multiple miscarriages or stillbirths in this time, please answer thi
TYPE OF LOSS - SB/EM
DUMMY TYPE OF LOSS - 1/2
8d) Approximately how many weeks pregnant were you when you lost this baby?
TIME SINCE LOSS
9a) Early miscarriage (occurring in the 0-12 week period of your pregnancy)
9b) Late miscarriage (occurring in the 13-23 week period of your pregnancy)
9c) Stillbirth (occurring at 24 weeks of pregnancy or later)
Any Previous loss
DUMMY PREVIOUS LOSS
Multiple Loss 2-6yrs
DUMMY MULTIPLE LOSS
10. Do you have any living children?
DUMMY LIVING CHILDREN
Number of Living Children
CHILD SINCE LOSS
DUMMY CHILD SINCE
11. Are you pregnant at the moment?
DUMMY PREGNANT NOW
GAD7 TOTAL SCORE
PGS TOTAL
PCL5 TOTAL
ERRI TOTAL
PTGI TOTAL
DTQ TOTAL
DTQ RELUCTANCE SUBSCORE
DTQ URGE TO TALK SUBSCORE
DTQ EMOTIONAL REACTIONS SUBSCORE
PHQ8 TOTAL
CBI TOTAL
1b) In the first month after losing your baby, do you think you talked enough about your feelings about losing your baby?
TIME IN 1ST YR
2b) In the first year after losing your baby, do you think you talked enough about your feelings about losing your baby?
TIME IN 2ND YR
3b) In the second year after losing your baby, do you think you talked enough about your feelings about losing your baby?
ACTUAL DISCLOSURE (YR 1 + YR 2)
1. Has your experience of completing these questionnaires at the moment been:
2. Do you believe that completing these questionnaires will be a positive or negative experience for you in the long-term?