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ANTENATAL RISK QUESTIONNAIRE (ANRQ)* This is part of your antenatal booking evaluation and will guide us as to what services we can offer you during your pregnancy. It is confidential information.

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How to fill out the Antenatal Risk Questionnaire online

The Antenatal Risk Questionnaire is a crucial tool that helps assess various psychosocial factors affecting pregnancy. This guide provides clear instructions on how to complete the questionnaire online, ensuring a smooth and supportive experience.

Follow the steps to fill out the Antenatal Risk Questionnaire online.

  1. Click the ‘Get Form’ button to access the Antenatal Risk Questionnaire and open it in your chosen editor.
  2. Begin by entering today's date and your due date. Make sure to format the dates correctly.
  3. Fill in your surname and given name(s) as requested. Ensure that all names are spelled accurately.
  4. Provide your phone numbers, including home, work, and mobile if applicable, completing all requested fields.
  5. For each question, read the statements carefully. Circle the numbers 1-6 or tick ‘Yes/No’ based on your personal experiences. Ensure that you complete all items.
  6. Pay close attention to follow-up questions, especially those that may require additional explanation. Fill in these sections as thoroughly as possible.
  7. Once all questions are answered, calculate your score according to the provided scoring instructions to assess your mental health risks.
  8. Review the completed questionnaire for accuracy, ensuring all information is correct and filled out completely.
  9. Finally, save your changes, and choose to download, print, or share the completed Antenatal Risk Questionnaire as needed.

Complete your Antenatal Risk Questionnaire online today to ensure the best care during your pregnancy.

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Total scores range from 5-60. A higher score indicates greater psychosocial risk. Women are at increased psychosocial risk if ANY of the following criteria are met: > Total ANRQ score of 23 or more; > Significant mental health history: If Q1 = 5 (Yes AND [Q1. a > 4 (Quite A Lot/Very Much) OR Q1.

Postnatal Risk Questionnaire (PNRQ)* Before this pregnancy did you ever have a period of 2 weeks or more when you felt particularly anxious, miserable or depressed? If yes, did this: a) seriously interfere with your work and your relationships with friends and family? b) lead you to seek professional help?

The Antenatal Risk Questionnaire (ANRQ) is designed to consider specific key risk factors thought to increase the risk of women developing perinatal mental health morbidity (e.g., postnatal depression or anxiety disorder) and sub-optimal mother- infant attachment.

Based on these scoring instructions, place individual questions scores in the score box on the right hand side. Add up the maximum 12 scored items and place the Total Score in the box at the top of the questionnaire. The range of scores is 5-60. A higher score indicates greater psychosocial risk.

Postnatal Risk Questionnaire (PNRQ)* Before this pregnancy did you ever have a period of 2 weeks or more when you felt particularly anxious, miserable or depressed? If yes, did this: a) seriously interfere with your work and your relationships with friends and family? b) lead you to seek professional help?

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