MPAS Self Assessment - WOMEN
For new parents—or answer while remembering how you felt when you were a new parent.

Depending on how true each statement is, score yourself with 0, 1 or 2:
0= not true, 1=sometimes true, 2=most true, and then add your total.

Excerpted from Ending the Epidemic of Disappearing Dads
© 2014, John W. Travis, MD, MPH

Where are you in your partner and/or postpartum/parenting journey?
I am experiencing decreased intimacy—physical, emotional, etc. *
2 points
I am feeling overwhelmed by needs of baby, household, and partner. *
2 points
not true
most true
I am feeling frustration from sexual pressure from partner since the birth. *
2 points
not true
most true
I am experiencing decreased interest in sex/intimacy. *
2 points
not true
most true
I am experiencing an increase in number of disagreements with partner *
2 points
not true
most true
I am feeling disconnected, out of sorts. *
2 points
not true
most true
I am feeling inadequate. *
2 points
not true
most true
I am feeling less attractive, less sexy than I used to before having my child(ren). *
2 points
not true
most true
I am bothered by unpleasant childhood memories. *
2 points
not true
most true
I am experiencing increased irritability. *
2 points
not true
most true
I am experiencing increased levels of depression, anxiety or agitation. *
2 points
not true
most true
Submit email to receive information & resources about thriving families (optional - by providing your email, you agree to be added to CCTF mailing list)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service