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Perinatal Anxiety Screening Scale (PASS-R)3

Perinatal Anxiety Screening Scale (PASS-R) Test

Designed for people experiencing anxiety during pregnancy or after birth, the Perinatal Anxiety Screening Scale (PASS-R) Test contains 31 questions and takes about 6 minutes. It highlights patterns such as specific fears, acute and intrusive anxiety, social anxiety, and adjustment difficulties, helping respondents reflect on their emotional profile.

Questions: 316 minutes

Perinatal Anxiety Screening Scale: test ticket with numbers

October 2, 2025October 2, 2025Material has been updatedOctober 2, 2025Material has been published

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Daniel Hall Psychologist · Test reviewer

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Scale Explorer

How the Scales are Structured

PhobiaP

Assesses the intensity of specific fears (phobic reactions) related to particular objects or situations during the perinatal period.

example score2/3

2/3Moderateexample score

0Low

1 – 2Moderate

3High

A score of 2 indicates a moderate level of specific fear, suggesting noticeable phobic reactions in certain situations.

Adjustment Difficulties (Dissociation)AD

Assesses dissociative symptoms and related difficulties adapting during the perinatal period.

example score8/12

8/12Highexample score

0 – 3Low

4 – 7Moderate

8 – 12High

A score of 8 falls in the High range, suggesting more pronounced dissociative experiences and notable adaptation difficulties in the perinatal period.

Specific FearsSF

Assesses the intensity of specific perinatal fears related to pregnancy, childbirth, and early caregiving.

example score6/15

6/15Moderateexample score

0 – 4Low

5 – 9Moderate

10 – 15High

A score of 6 falls in the Moderate range, suggesting some specific fears are present but not at a high intensity.

Obsessive PerfectionismOP

Measures the degree of perfectionistic, control-focused and potentially obsessional anxiety tendencies during the perinatal period.

example score11/15

11/15Highexample score

0 – 5Low

6 – 10Moderate

11 – 15High

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.

Social AnxietySA

Measures anxiety and avoidance tendencies related to social interactions during the perinatal period.

example score6/12

6/12Moderateexample score

0 – 4Low

5 – 8Moderate

9 – 12High

A score of 6 falls in the Moderate range, suggesting a noticeable but not extreme level of social interaction-related anxiety.

Acute And Intrusive AnxietyAAIA

Assesses the intensity of acute, intrusive anxiety symptoms such as sudden anxious surges, obsessive thoughts, and panic-like reactions during the perinatal period.

example score33/36

33/36Highexample score

0 – 12Low

13 – 24Moderate

25 – 36High

A score of 33 falls in the High range, indicating a pronounced level of acute and intrusive anxiety symptoms on this subscale.

Perinatal Anxiety LevelPAL

Measures overall intensity of anxiety symptoms during pregnancy and the first postpartum year.

example score70/93

70/93Highexample score

0 – 25Low

26 – 41Elevated

42 – 93High

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.

Benchmarking

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.

Shaded area — where most people score

Dot — the average

You — your score lands on each curve after the test— your score, after the test

PhobiaP

You?

Average1.1

Typical rangeTypical0.7 – 1.6

Possible0 – 3

Adaptation Issues (Dissociation)AI

You?

Average7.3

Typical rangeTypical5.6 – 9

Possible0 – 12

Specific FearsSF

You?

Average4.7

Typical rangeTypical2.5 – 6.8

Possible0 – 15

Obsessive PerfectionismOP

You?

Average8

Typical rangeTypical5.5 – 10.6

Possible0 – 15

Social AnxietySA

You?

Average4.4

Typical rangeTypical2.6 – 6.2

Possible0 – 12

Acute and intrusive anxietyAaia

You?

Average18.9

Typical rangeTypical12.4 – 25.4

Possible0 – 36

Level of perinatal anxietyLopa

You?

Average68.4

Typical rangeTypical55 – 81.8

Possible0 – 93

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SAMPLE QUESTIONS

Example Questions From the Test

How often during the past month have you experienced the following? Please select the response that most accurately describes your experience for each item.

- Not at all
- Sometimes
- Often
- Almost always
- Not at all
- Sometimes
- Often
- Almost always
- Not at all
- Sometimes
- Often
- Almost always

These are 3 of the 31 real questions — the rest appear in the test. No sign-up needed to start.

WHAT THE TEST MEASURES

Perinatal Anxiety Screening Scale (PASS-R) Test - Description and methodology of the test

pregnancy

motherhood

anxiety disorder

People considering whether their emotional experiences during pregnancy or after birth merit closer attention may use the Perinatal Anxiety Screening Scale (PASS-R) Test as a structured self-report starting point. It is intended for people reflecting on worries, fears, intrusive thoughts, social discomfort, and adjustment. This perinatal anxiety assessment produces a pattern of results that can show which experiences feel most prominent.

What This Assessment Explores

Results cover anxiety and six patterns:

Phobia (0-3) measures marked fear; minimal scores merit clarification: Low 0-0, Moderate 1-2, High 3-3.
Adjustment Difficulties (Dissociation) (0-12) measures dissociation and adjustment: Low 0-3, Moderate 4-7, High 8-12.
Specific Fears (0-15) covers fears during pregnancy anxiety screening: Low 0-4, Moderate 5-9, High 10-15.
Obsessive Perfectionism (0-15) measures control and checking: Low 0-5, Moderate 6-10, High 11-15.
Social Anxiety (0-12) measures social fear and avoidance: Low 0-4, Moderate 5-8, High 9-12.
Acute And Intrusive Anxiety (0-36) measures generalized anxiety, panic risk, intrusive thoughts, and trauma: Low 0-12, Moderate 13-24, High 25-36.
Perinatal Anxiety Level (0-93) measures perinatal anxiety and risk: Low 0-25, Elevated 26-41, High 42-93.

Methodology and Scientific Basis

Each item uses four response options-Not at all, Sometimes, Often, or Almost always-to indicate how frequently each experience occurs, covering worries, fears, sleep, checking, avoidance, detachment, concentration, panic, and related experiences.

Subscale and overall scores are reported in the displayed bands. Those ranges do not reveal a point-per-answer rule or prove that every response is weighted identically.

The evidence base connects this format with published PASS research. The relevant Russian validation study for Perinatal Anxiety Screening Scale (PASS-R) was conducted by Korgozha and Evmenenko (2023). Somerville and colleagues developed and preliminarily validated PASS in 2014; their 2015 work examined severity classification. This online questionnaire is conceptually consistent with these studies, but is not automatically identical to their samples, procedures, norms, or validation results.

Because it is self-reported, results may vary with current circumstances, self-awareness, and willingness to disclose symptoms; used as a postpartum anxiety questionnaire, this specific tool can organize reflection, while its bands should be read alongside personal history and broader assessment.

Author: J. L. Cox, J. M. Holden, R. Sagovsky

Literature:

Korgozha, Maria, and Alesia Evmenenko. “Validation and reliability of the Russian version of the Perinatal Anxiety Screening Scale.” Minerva Psychiatry, 64(2), 2023, 175-184. 10.23736/S2724-6612.22.02306-5
Somerville, Susanne, Kellie Dedman, Rosemary Hagan, Elizabeth Oxnam, Michelle Wettinger, Shannon Byrne, Soledad Coo, Dorota Doherty, and Andrew C. Page. “The Perinatal Anxiety Screening Scale: development and preliminary validation.” Archives of Women’s Mental Health, 17(5), 2014, 443-454. 10.1007/s00737-014-0425-8
Somerville, Susanne, Shannon Byrne, Kellie Dedman, Rosemary Hagan, Soledad Coo, Elizabeth Oxnam, and Andrew C. Page. “Detecting the severity of perinatal anxiety with the Perinatal Anxiety Screening Scale (PASS).” Journal of Affective Disorders, 186, 2015, 18-25. 10.1016/j.jad.2015.07.012
Cox, J. L., J. M. Holden, and R. Sagovsky. “Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale.” The British Journal of Psychiatry, 150(6), 1987, 782-786. 10.1192/bjp.150.6.782

Updated: 2025-10-02