Perinatal Anxiety Screening Scale (PASS-R) Test

In about 6 minutes, it helps clarify your anxiety level during pregnancy and the first year after birth. Quick 31-item screen flags key concerns early to guide the right support.
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Questions316 minutes
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08:30
October 2, 2025
October 2, 2025
Material has been updated
12,761 view
1,512 completions
1,254 likes
Verified by Daniel Hall
Psychologist with 25 years of experience
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How the Scales are Structured

example score
2/3
Phobia (P)
Assesses the intensity of specific fears (phobic reactions) related to particular objects or situations during the perinatal period.
Low
Moderate
High
0Low12Moderate3High
A score of 2 indicates a moderate level of specific fear, suggesting noticeable phobic reactions in certain situations.
example score
8/12
Adjustment Difficulties (Dissociation) (AD)
Assesses dissociative symptoms and related difficulties adapting during the perinatal period.
Low
Moderate
High
03Low47Moderate812High
A score of 8 falls in the High range, suggesting more pronounced dissociative experiences and notable adaptation difficulties in the perinatal period.
example score
6/15
Specific Fears (SF)
Assesses the intensity of specific perinatal fears related to pregnancy, childbirth, and early caregiving.
Low
Moderate
High
04Low59Moderate1015High
A score of 6 falls in the Moderate range, suggesting some specific fears are present but not at a high intensity.
example score
11/15
Obsessive Perfectionism (OP)
Measures the degree of perfectionistic, control-focused and potentially obsessional anxiety tendencies during the perinatal period.
Low
Moderate
High
05Low610Moderate1115High
A score of 11 falls in the High range, suggesting a strong drive for control and continual improvement that may be linked to more obsessive, perfectionistic anxiety patterns.
example score
6/12
Social Anxiety (SA)
Measures anxiety and avoidance tendencies related to social interactions during the perinatal period.
Low
Moderate
High
04Low58Moderate912High
A score of 6 falls in the Moderate range, suggesting a noticeable but not extreme level of social interaction-related anxiety.
example score
33/36
Acute And Intrusive Anxiety (AAIA)
Assesses the intensity of acute, intrusive anxiety symptoms such as sudden anxious surges, obsessive thoughts, and panic-like reactions during the perinatal period.
Low
Moderate
High
012Low1324Moderate2536High
A score of 33 falls in the High range, indicating a pronounced level of acute and intrusive anxiety symptoms on this subscale.
example score
70/93
Perinatal Anxiety Level (PAL)
Measures overall intensity of anxiety symptoms during pregnancy and the first postpartum year.
Low
Elevated
High
025Low2641Elevated4293High
A score of 70 falls in the High range, indicating a high level of perinatal anxiety symptoms and possible impact on well-being and adaptation.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

Pregnant women feeling worried
46%OF USERS
Expectant mothers take it to check whether their worries, fears, or physical tension during pregnancy may indicate elevated anxiety.
New mothers postpartum
34%OF USERS
Women in the first year after birth use it to understand persistent anxiety, intrusive thoughts, or stress that affects bonding and daily functioning.
Clinicians screening patients
20%OF USERS
Healthcare and mental health professionals use it to quickly screen perinatal clients and decide whether further assessment or support is needed.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
RESULTS YOU CAN ACTUALLY USE

Scale Results
— Explained Clearly
Your scores across each test scale are translated into plain, usable insights. You won’t just get numbers — you’ll learn how your results impact your daily life, emotional state, and overall well-being.
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You’ll receive a structured, clinically-grounded explanation. Our AI analyzes patterns and relationships between scales to provide a coherent interpretation, without exaggerated language.
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Comparison
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Get insights on behavioral and thought patterns you might not notice on your own. By uncovering subtle connections between your responses, you’ll better understand what may be driving your current results.
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Used in 52+ countries
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See How You Compare

Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Phobia (P)
Average
1.1
Normal range
0.71.6
min.
0
max.
3
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Adaptation Issues (Dissociation) (AI()
Average
7.3
Normal range
5.69
min.
0
max.
12
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Specific Fears (SF)
Average
4.7
Normal range
2.56.8
min.
0
max.
15
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Obsessive Perfectionism (OP)
Average
8
Normal range
5.510.6
min.
0
max.
15
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Social Anxiety (SA)
Average
4.4
Normal range
2.66.2
min.
0
max.
12
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Acute and intrusive anxiety (Aaia)
Average
18.9
Normal range
12.425.4
min.
0
max.
36
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Level of perinatal anxiety (Lopa)
Average
68.4
Normal range
5581.8
min.
0
max.
93
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
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CLEAR ANSWERS TO COMMON QUESTIONS

Frequently Asked Questions

What does this questionnaire measure?
It measures the severity of anxiety symptoms during pregnancy and the first year after birth. It also identifies common anxiety patterns related to pregnancy, parenting, and stress responses.
Who is the questionnaire intended for?
It is intended for pregnant individuals and those up to 12 months postpartum. It may be used in routine screening or when anxiety is suspected.
How long does it take and how many items are included?
Completion typically takes about 6 minutes. It includes 31 items.
How is the questionnaire completed?
Items are self-rated by selecting the response that best matches recent experiences. All items should be answered to support accurate scoring.
How should results be interpreted?
Scores indicate the level of anxiety symptoms and areas of concern. Results support clinical decision-making and do not by themselves confirm a diagnosis.
WHAT THE TEST MEASURES
About This Assessment
Perinatal Anxiety Screening Scale, PASS-R Test

Perinatal Anxiety Screening Scale (PASS-R) Test - Symptoms and Signs

Anxiety symptoms are common during pregnancy and the first year postpartum and can affect functioning and maternal-infant well-being. The Perinatal Anxiety Screening Scale (PASS-R) is a brief self-report measure designed to screen for the presence and severity of anxiety symptoms in the perinatal period.

It includes 31 items and typically takes about 6 minutes to complete. Items query anxiety-related experiences relevant to pregnancy and early parenting, supporting identification of symptom patterns that may warrant further clinical assessment.

The Perinatal Anxiety Screening Scale (PASS-R) is intended for use in clinical and community settings as an initial screening tool and should be interpreted in the context of clinical history and current presentation. It is attributed to J. M. Holden, J. L. Cox, and R. Sagovsky.

Author: J. L. Cox, J. M. Holden, R. Sagovsky
Literature: Somerville, S., Dedman, K., Hagan, R., Oxnam, E., Wettinger, M., Byrne, S., Coo, S., & Doherty, D. Perinatal Anxiety Screening Scale: development and preliminary validation. Archives of Women’s Mental Health. 2014.
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