Name:

Age

1. Do you experience any physical pain or discomfort during pregnancy?

2. Does pregnancy affect your eating habits?
3. Have you been sleeping irregularly during this pandemic?
4. How often do you exercise?
5. Are you taking any medications?
6. How often do you visit your doctor?
7. Are you having any issues in this pandemic?
8. Has there been any lifestyle changes during this pandemic?
9. Are you experiencing any stressors in this pandemic?
10. Did Covid-19 affected your pregnancy follow-up and prenatal care? 

How has Covid-19 affected your physical health during pregnancy? Could you share with
me?”

1 How has Covid-19 affected your physical health during pregnancy? Could you share with me?

2 How has Covid-19 affected your psychosocial health during pregnancy? Could you share with me?

3 How has Covid-19 affected your adaptation to pregnancy? Could you share with me?

4 How has Covid-19 affected your pregnancy follow-up and prenatal care? Could you share with me?

5 How has the Covid-19 affected your social life? Could you share with me?

6 Have you ever had trouble in your pregnancy during the Covid-19 pandemic? If yes, how have you coped with it?

Could you share with me?

7 How has Covid-19 affected your spousal relationship? Could you share with me?
 QUESTIONNAIRE
Name ___________________________
Age _________________
1. Do you have any physical pain or discomfort when you're pregnant?

Yes
No
2. Do your dietary habits change throughout pregnancy?

Yes
No

3. Have you been having trouble sleeping because of the pandemic?

Yes
No

4. Do you engage in any physical activity?

Yes
No

5. Do you take any prescription drugs?

Yes
No

6. Do you visit your doctor?

Yes
No

7. Are you experiencing any difficulties as a result of the pandemic?

Yes
No
8. Has your lifestyle changed as a result of the pandemic?

Yes
No

9. Are you dealing with any stressors as a result of the pandemic?

Yes
No
10.How did Covid-19 affect your prenatal care and pregnancy follow-up?

Yes
No