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Understanding Emotional Intelligence in Coping with Pregnancy Loss: A Medical Perspective

Here’s a structured questionnaire on pregnancy loss and mental health for research purposes. It includes demographic details, medical history, psychological impact, coping mechanisms, and support systems.Your responses will help us understand the emotional and mental health impact of pregnancy loss. Your participation is anonymous and takes less than 15 mins. Choose the answer that comes first to your mind.

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1

Age

2

Country of origin

3

Marital Status

Select one or more answers
4

Educational level:

Select one or more answers
5

Have you ever experienced any pregnancy loss?

If no, kindly forward this questionnaire to others with such experience.
6

Type of pregnancy loss:

Choose more than one option ,if multiple pregnancy losses
7

How many pregnancy losses have you experienced ?

8

At what stage of pregnancy did the loss occur ?

Select one or more answers
9

Was the cause of the loss medically identified ?

Select one or more answers
10

Have you been diagnosed with any gynecological or obstetric condition before/during pregnancy?

Select one or more answers
11

How did the pregnancy loss affect your emotional wellbeing?

check all that apply.
12

Have you ever been diagnosed with any mental health condition?

Select one or more answers
13

On a scale of 1-5 , how would you rate your emotional response to the pregnancy loss ?(1-no impact , 5- severe impact )

14

Do you experience sudden emotional outbursts/feel overwhelmed by your emotions ( crying, anger , frustration...)related to the loss ?

Select one answer
15

Have you had suicidal thoughts after the loss ?

Select one answer
16

How long did your emotional distress last?

Select one answer
17

How has the loss affected your relationships (partner, family, friends)

Select one answer
18

Have you withdrawn from social interactions since the loss?

Select one answer
19

How do you feel when others talk about pregnancy or babies around you?

Select one or more answers
20

Have you ever smoked?

Select one answer
21

Have you ever consumed alcohol?

Select one answer
22

Do you belive smoking or alcohol consumption contributed to your pregnancy loss ?

Select one answer
23

Have you noticed changes in your sleep patterns( insomnia - lack of sleep; excessive sleeping) after the loss ?

Select one answer
24

What coping strategies have you used?

(Check all that apply)
25

Did you seek any professional mental health support?

Select one answer
26

Did you feel that medical professionals provided adequate emotional support during and after the loss?

Select one answer
27

Did you feel supported by your partner/family/friends?

Select one answer
28

Do you feel ready for another pregnancy?

Select one answer
29

What fears or concerns do you have about future pregnancies?

Select one or more answers
30

What resources would you find helpful in coping with pregnancy loss?

Check all that apply
31

Do you think developing emotional intelligence can help individuals cope better with pregnancy loss?

Select one answer


Thank you for your participation. Your responses will contribute to a better understanding of mental health after pregnancy loss. If you need support, please consider reaching out for professional help.

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