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alspac_92_misd
MY INFANT DAUGHTER
Babies grow so quickly, and change so much. This questionnaire asks about any accidents or problems she may have had, what she has been eating and drinking, her temperament and the way she may be beginning to understand the world about her.
It is like the other questionnaires you have received. To answer simply tick the box which best describes your daughter or her situation. Again some questions will seem similar but they are not the same. Please answer all questions that you can. If you cannot answer any questions or if they do not apply to you please put a line through them. There are no right or wrong answers. Please just describe what happens in your situation. You may make additional comments at the end. All answers are confidential.
THANK YOU FOR YOUR HELP
FE_SECTION A: ACCIDENTS AND INJURIES

Has she been burnt or scalded since she was 6 months old?

1
Yes
2
No
If no, go to A2a on page 4
If yes,
qc_fe_A1_a == 1

how many times?

How many
For each burn or scald please describe below what happened:
Place accident happened (eg. kitchen, garden, creche) What was she burnt with? (e.g tea, iron, electric fire) Date of accident (month, year) Injuries caused (if no injury write none) Who was with her? What did the person with her do? Other (please describe) What treatment did the person with her give? What other treatment did she have?
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
1st accident
2nd accident
3rd accident

Please describe how each accident happened: Burn 1

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Please describe how each accident happened: Burn 2

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Please describe how each accident happened: Burn 3

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Has she been dropped or had a bad fall since she was 6 months old?

1
Yes
2
No
If no, go to A3a on page 5
If yes,
qc_fe_A2_a == 1

how many times?

How many
For each fall please describe below what happened.
Place accident happened (eg. kitchen, garden, creche) What did she fall or drop from (eg. table, baby walker, pram, bed, your arms) Date of fall (month, year) Injuries caused (if no injury write none) Who was with her? What did the person with her do? Other (please describe) What treatment did the person with her give? What other treatment did she have?
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
1st accident
2nd accident
3rd accident

Please describe how each accident happened: Fall 1

Generic text

Please describe how each accident happened: Fall 2

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Please describe how each accident happened: Fall 3

Generic text

Has she swallowed anything she shouldn't have (such as pills, buttons, disinfectant) since she was 6 months old?

1
Yes
2
No
If no, go to A4a on page 6
If yes,
qc_fe_A3_a == 1

how many times?

How many
For each time please describe below what happened.
Place accident happened (eg. your home, nursery, at friend's) What did she swallow? Date of accident (month, year) Who was with her? What did the person with her do? Other (please describe) What treatment did the person with her give? What other treatment did she have?
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
1st accident
2nd accident
3rd accident

Please describe how each accident happened: Accident 1

Generic text

Please describe how each accident happened: Accident 2

Generic text

Please describe how each accident happened: Accident 3

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Has she had any other accidents or injuries since she was 6 months old?

1
Yes
2
No
If no, go to Section B on page 7
If yes,
qc_fe_A4_a == 1

how many other accidents?

How many
For each accident or injury please describe below what happened.
Place accident happened (eg. kitchen, garden, creche) What happened? Date of accident (month, year) Injuries caused (if no injury write none) Who was with her? What did the person with her do? Other (please describe) What treatment did the person with her give? What other treatment did she have?
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
1st accident
2nd accident
3rd accident

Please describe how each accident happened: Accident 1

Generic text

Please describe how each accident happened: Accident 2

Generic text

Please describe how each accident happened: Accident 3

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FE_SECTION B: PROBLEMS AND TREATMENTS
Children often have accidents or illnesses that need treatment. Please indicate which of the following have been given to your child since she was six months old.
- If yes, please give full names of substances if you can

1 - Never

2 - Yes for one episode only

3 - Yes for 2 or more episodes

Generic text

1 - Never

2 - Yes for one episode only

3 - Yes for 2 or more episodes

Generic text
cough medicine
antibiotics/penicillin
throat medicine
vitamins
paracetamol/calpol
ointment for skin
eye ointment
diarrhoea mixture or pills
dimotapp/decongestant
ear drops
eye drops
teething gel
laxative
other (please describe)

Children often have accidents or illnesses that need treatment. Please indicate which of the

following have been given to your child since she was six months old. Since she was 6 months other (please describe)

Other

Are there any pills, ointments or medicines that she has taken every day or nearly every day for the last 3 months? (Include vitamins, skin cream, laxatives as well as antibiotics, etc)

1
Yes
2
No
If no, go to B3a below
If yes,
qc_fe_B2_a == 1

please describe:

Generic text
During the child's early months of life various possible problems are often identified - yet when investigated further they are often found not to be problems at all. In this section we are asking about any possible problem that might have arisen.

Has your toddler been investigated because it was thought she might have something wrong with her hips, her legs or her feet?

1
Yes
2
No
If no go to B4a on page 9
If yes,
qc_fe_B3_a == 1

were any problems found?

1
Yes
2
No
9
Don't know
If no, go to B4a on page 9
If yes,
qc_fe_B3_b == 1

please describe:

Generic text

how old was she? ... months (put 00 if less than 1 month)

Age in months

what treatment did she have?

Generic text
FE_Your child's hearing

Has anyone thought there might be a problem with her hearing?

1
Yes
2
No
If no, go to B5 below
If yes,
qc_fe_B4_a == 1

Who first suspected a problem?

1
I did
2
my partner did
3
other relative or friend
4
health visitor
5
doctor
6
someone else (please describe)
Other

Has your child been seen at the Hearing Assessment Centre?

1
Yes
2
No
If no, go to B5 below
If yes,
qc_fe_B4_c == 1

At what age? ... months

Age in months

What was decided?

Generic text
FE_Your child's sight

Has anyone thought there might be a problem with her eyesight?

1
Yes
2
No
If no go to B6 on page 10
If yes,
qc_fe_B5_a == 1

Who first suspected a problem?

1
I did
2
my partner did
3
other relative or friend
4
health visitor
5
doctor
6
someone else (please describe)
Other

What was thought to be wrong with her eyes?

1
squint
2
something else (please describe)
9
don't know
Other

Has your child ever been referred to an eye specialist?

1
Yes
2
No
If no go to B6 below
If yes,
qc_fe_B5_d == 1

at what age? ... months

Age in months

What was decided?

Generic text

What treatment was given?

Generic text
FE_Other problems

Have there been any other problems for which your child was referred to a specialist?

1
Yes
2
No
If no, go to Section C on page 11
If yes
qc_fe_B6_a == 1

For how many different problems?

How many
Please list, for each problem, what has happened:
What was thought to be the problem? Have you seen the specialist? What age was she the first time she was seen for this problem? ... months What was decided? What treatment was given?
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Problem No. 1
Problem No. 2
Problem No. 3
FE_SECTION C: YOUR INFANT AND HER ENVIRONMENT

What does your daughter look like? Her hair is:

1
black
2
dark brown
3
light brown
4
fair
5
reddish
6
other (please describe)
Other

What does your daughter look like? Her eyes are:

1
blue
2
brown
3
green
4
other (please describe)
Other

Does she have any unusual marks on her face?

1
yes, a scar
2
yes, a birthmark
3
yes, other mark
4
no, not at all
If no, go to C1d below
If yes,
qc_fe_C1_c == 1 || qc_fe_C1_c == 2 || qc_fe_C1_c == 3

please describe what the mark is like, where it is and how big it is:

Generic text

what difference do you think this makes to her looks?

1
improves them
2
no difference
3
makes worse

Does she have any unusual marks on other parts of her body?

1
yes, a scar
2
yes, a birthmark
3
yes, other mark
4
no, not at all
If no, go to C2a
If yes,
qc_fe_C1_d == 1 || qc_fe_C1_d == 2 || qc_fe_C1_d == 3
please describe (for each):
Where it is What it is How big it is
Generic textGeneric textGeneric text Generic textGeneric textGeneric text Generic textGeneric textGeneric text
1
2
3

How many teeth has she got now?

How many

How old was she when the first one appeared? ... months

Age in months

Do you use a toothbrush for the child?

1
yes, every day
2
yes, sometimes
3
no not at all

Does she ever have toothpaste?

1
Yes
2
No
If no, go to C3 on page 13
If yes,
qc_fe_C2_d == 1

how old was she when you started using toothpaste? ... months

Age in months

how much do you put on her brush nowadays?

1
brush full
2
half brush full
3
less than half a brush full
4
none

how many times a day do you do this? ... times

How many

does she swallow it or spit it out?

1
swallows it
2
spits it out
3
varies

what type of toothpaste is usually used: (please give exact name and brand)

Generic text

All children get dirty. How often in a normal day: is her face washed?

1
not at all
2
1-2 times
3
3-4 times
4
5 or more times

All children get dirty. How often in a normal day: are her hands washed or wiped?

1
not at all
2
1-2 times
3
3-4 times
4
5 or more times

All children get dirty. How often in a normal day: are her hands cleaned before a meal?

1
always
2
usually
3
sometimes
4
occasionally
5
never

How often does she usually: have a bath or shower:

1
more than once a day
2
once every day
3
several times a week
4
once a week
5
hardly ever

How often does she usually: have her ear holes cleaned:

1
more than once a day
2
once every day
3
several times a week
4
once a week
5
never or hardly ever

What do you think about toilet training for her?

1
It is too early to start any toilet training yet
2
I have just started toilet training
3
I have been toilet training for some time
If I have been toilet training for some time to question C5
qc_fe_C5 == 3

give age you started training ... months

Age in months

At what age would you expect a child to be dry? during the day ... months

Age in months

At what age would you expect a child to be dry? during the night ... months

Age in months

Is she: dry during the day

1
Always
2
Sometimes
3
Never

Is she: dry during the night

1
Always
2
Sometimes
3
Never

Is she: clean during the day

1
Always
2
Sometimes
3
Never

Is she: clean during the night

1
Always
2
Sometimes
3
Never

Please indicate how often during the day she is in a room or enclosed place where people are smoking: Weekdays

1
all the time
2
more than 5 hours
3
3,4 or 5 hours
4
1 or 2 hours
5
less than 1 hour
6
not at all

Please indicate how often during the day she is in a room or enclosed place where people are smoking: Weekends

1
all the time
2
more than 5 hours
3
3,4 or 5 hours
4
1 or 2 hours
5
less than 1 hour
6
not at all
Which pets is she in contact with at least once a week either in your home or elsewhere?
-
cat(s)
dog(s)
other furry pet*(s)
other pet*(s)

Which pets is she in contact with at least once a week either in your home or elsewhere? *please describe

Generic text
FE_SECTION D: FEEDING

How many meals with solids does she have each day?

How many

Was she breast fed?

1
Yes, she is still being breast fed
2
Yes, was breast fed but now stopped
3
She was never breast fed
If Yes, she is still being breast fed to question D2
qc_fe_D2 == 1

How many times a day? ... times

How many
If Yes, was breast fed but now stopped to question D2
qc_fe_D2 == 2

How old was she when breastfeeding stopped?

Age in months
For the main meal of the day does she eat:
-
the same food as you
a different meal that you prepare
a ready-prepared meal out of a packet or tin

Do you feel that you have had difficulties feeding her in the past year?

1
Yes, great difficulty
2
Yes, some difficulty
3
Yes, occasional difficulty
4
No, no difficulty

Does she want to feed herself?

1
Yes usually
2
Yes sometimes
3
No not at all

Do you let her feed herself?

1
Yes usually
2
Yes sometimes
3
No not at all
Since she was 6 months old has she at any time:
-
not eaten sufficient amount of food
refused to eat the right food
been choosy with food
over-eaten
been difficult to get into an eating routine
Since she was 6 months old has she had any of the following
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
baby milk (formula)
follow-on milk
soya formula
hypo-allergenic formula
goats' milk
soya milk
ordinary cows' milk
other milk

when she has cows' milk is it mostly:

1
whole
2
semi-skimmed
3
or skimmed
4
never had cows milk
Since she was 6 months old has she had:
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
baby rice
other baby cereal
breakfast cereal
rusks
bread or toast
biscuits
Since she was 6 months old has she had any of the following prepared baby foods, toddler foods or junior foods (from jar, tin or packet)?
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
savoury - meat
savoury - fish
savoury vegetable
baby fruit dessert or pudding
baby milk dessert or pudding
Since she was 6 months old has she eaten any of these other foods (not bought baby or toddler foods)?
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
egg
cheese
meat or meat products
fish or fish products
potatoes
other vegetables
fruit puddings
milk puddings
Since she was 6 months old has she had:
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
coca cola or pepsi
other fizzy drink
apple juice
blackcurrant juice or rosehip syrup
other fruit juice
a little alcohol
any other fruit drink (e.g. orange squash)
herbal drink (please describe)
gripe water
tea
coffee

Since she was 6 months old has she had: herbal drink (please describe)

Generic text

Which type of these drinks does your child have nowadays?(tick all that apply) tea

1
decaffeinated
2
weak
4
strong
6
does not like
7
does not have

Which type of these drinks does your child have nowadays?(tick all that apply) coffee

1
decaffeinated
2
weak
4
strong
6
does not like
7
does not have

Which type of these drinks does your child have nowadays?(tick all that apply) cola

1
decaffeinated
2
ordinary
4
diet
6
does not like
7
does not have

Which type of these drinks does your child have nowadays?(tick all that apply) other soft drinks

1
decaffeinated
2
ordinary
4
diet
6
does not like
7
does not have
Since she was 6 months old, has your child had the following, whether in baby foods or elsewhere:
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
Packet soup
Canned soup
Liver/liver pate
Kidney
Shellfish (eg. prawns mussels, cockles)
Baked beans
Green peas
Other legumes (eg. lentils, chick peas, red kidney beans)
Yoghurt
Figs/fig products
Raw apple
Other raw fruit (eg. banana/orange)
Raw carrot
Other raw vegetables (please describe)
Nuts/nut products
Crisps
Other cocktail or savoury snacks (eg. cheesy biscuits)
Chocolates
Mints (eg. polo)
Sweets

Since she was 6 months old, has your child had the following, whether in baby foods or elsewhere: Other raw vegetables (please describe)

Other
Do you ever add these things to your child's food or use them in preparing her food?
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
Gravy (made with granules, powder or cubes) or soy sauce
Salt
Herbs (please describe)
Spices (please describe)
Tomato ketchup
Other sauce (please describe)
Sugar

Do you ever add these things to your child's food or use them in preparing her food? Herbs (please describe)

Generic text

Do you ever add these things to your child's food or use them in preparing her food? Spices (please describe)

Generic text

Do you ever add these things to your child's food or use them in preparing her food? Other sauce (please describe)

Generic text

Skins and peels: does she eat: apple skin

1
No
2
Yes
3
Doesn't have this at all

Skins and peels: does she eat: orange peel

1
No
2
Yes
3
Doesn't have this at all

Skins and peels: does she eat: potato skin

1
No
2
Yes
3
Doesn't have this at all

Skins and peels: does she eat: other fruit or vegetable skin (please describe)

1
No
2
Yes
3
Doesn't have this at all
Other
Has your infant ever had:
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
smoked/cured foods (ham, bacon, smoked fish,smoked cheese)
individually packaged microwave meals
foods cooked on a barbecue
sports drinks (eg. Lucozade sport, Dexters)
If yes
qc_fe_D15_a-d == 2

please describe

Generic text

Is she fed 'on demand', i.e. whenever she is hungry?

1
Yes always
2
Yes some of the time
3
No not at all

Are there any other foods that your child eats that haven't been included above?

1
Yes
2
No
If no, go to D18
If yes please describe:
qc_fe_D17 == 1
_food < 4

Food

Generic text

Age started ... months

Age in months

How often nowadays ... times a week

How many

When shopping do you deliberately choose for your toddler labels that say: low sugar

1
Usually
2
Sometimes
3
Never

When shopping do you deliberately choose for your toddler labels that say: iron added

1
Usually
2
Sometimes
3
Never

Are there any foods that you don't allow your toddler to eat?

1
yes
2
no
If yes,
qc_fe_D19 == 1

please list the foods and why:

Generic text

Babies first solid meals are usually a puree. When did your child first start having meals with lumps in? Age started ... months

Age in months

Who most often feeds her during the day?

1
you
2
partner
3
paid helper
4
other person (describe)
Other

Who usually feeds her at night?

1
you
2
partner
3
paid helper
4
don&#39;t feed at night
5
other person (describe)
Other

Does your toddler have definite likes and dislikes as far as food is concerned?

1
no, will eat almost anything
2
yes, quite choosy
3
yes, very choosy

Does she drink out of a cup or feeding beaker?

1
yes, usually
2
yes, sometimes
3
no, not at all

How often do you put her down to sleep with a bottle (whether at night or during the day)?

1
always
2
sometimes
3
never

How often does she suck a dummy or her thumb or finger? dummy

2
most of the time
3
sometimes
4
never

How often does she suck a dummy or her thumb or finger? thumb/finger

2
most of the time
3
sometimes
4
never

When you give her a dummy, how often is it dipped in or filled with something that tastes nice?

1
usually
2
sometimes
3
never
7
doesn&#39;t have a dummy

Apart from her fingers, thumb or a dummy does she have a special object that she uses for comfort?

1
Yes
2
No
FE_SECTION E: CHILDCARE
Apart from yourself, who regularly looks after your infant? (Please answer for each person regularly involved).
- If yes, give hours per week and Age of baby when this began (in months)

1 - No

2 - Yes

Hours per weekAge in months

1 - No

2 - Yes

Hours per weekAge in months

1 - No

2 - Yes

Hours per weekAge in months
partner
baby&#39;s grandparent
other relative
friend/neighbour
paid person outside baby&#39;s home (eg. child minder)
paid person in baby&#39;s home eg. nanny, baby sitter)
day nursery (creche)
other (please describe)

Apart from yourself, who regularly looks after your infant? (Please answer for each person regularly involved). other (please describe)

Other

What was the main reason for choosing this form of childcare?

1
I had no choice
2
I could afford it
3
It was convenient
4
It was linked to my job
5
I thought it would be beneficial for my child
6
Other (please describe)
Other

How satisfied are you with these arrangements?

1
very satisfied
2
fairly satisfied
3
not at all happy
Since your baby was born, please list below all daytime child care arrangements (other than yourselves) according to the age of this child.
No. of hours/week during the day Person (eg childminder grandmother) Place (eg at home, creche, etc)
How manyGeneric textGeneric text How manyGeneric textGeneric text How manyGeneric textGeneric text
1 month
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
13 months
14 months
15 months

How many different people other than you or your partner have looked after your baby during the day since he was born? (count each nursery or creche as 1 person)

How many
FE_SECTION F: UNDERSTANDING AND TALKING
Before beginning to speak, children often show signs of understanding some words and phrases. Does your child do any of these?
-
turns when her name is called
stops what she is doing (even for a moment) when you say &#39;no&#39;

Which of these does your child understand? She understands: Are you sleepy?

1
Yes
2
No

Which of these does your child understand? She understands: Be quiet

1
Yes
2
No

Which of these does your child understand? She understands: Come here

1
Yes
2
No

Which of these does your child understand? She understands: Do you want more?

1
Yes
2
No

Which of these does your child understand? She understands: Don't do that

1
Yes
2
No

Which of these does your child understand? She understands: Give me a kiss

1
Yes
2
No

Which of these does your child understand? She understands: Don't touch

1
Yes
2
No

Which of these does your child understand? She understands: Open your mouth

1
Yes
2
No

Which of these does your child understand? She understands: Sit down

1
Yes
2
No

Which of these does your child understand? She understands: Spit it out

1
Yes
2
No

Which of these does your child understand? She understands: Stop it

1
Yes
2
No

Which of these does your child understand? She understands: Time for bed

1
Yes
2
No

Starting to talk. Some children like to imitate things that they've just heard. How often does your child imitate words?

1
never
2
sometimes
3
often

Starting to talk. Some children like to name or label things. How often does your child do this?

1
never
2
sometimes
3
often
Here are some words that your child might understand and some that she might say. If she uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether she can do any of the following.
-
ba ba (sheep)
meow (cat)
moo (cow)
quack quack (duck)
woof woof (dog)
Here are some words that your child might understand and some that she might say. If she uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether she can do any of the following.
-
bird
butterfly
cat
chicken
cow
dog
donkey
elephant
fish
frog
horse
lion
monkey
owl
penguin
pig
teddy bear
Here are some words that your child might understand and some that she might say. If she uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether she can do any of the following.
-
car
bus
bicycle
aeroplane
train
lorry
motorbike
Here are some words that your child might understand and some that she might say. If she uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether she can do any of the following.
-
apple
banana
bread
cake
carrots
cheese
chicken
drink
egg
fish
ice cream
juice
meat
milk
orange
peas
sweets
spaghetti
toast
water
Here are some words that your child might understand and some that she might say. If she uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether she can do any of the following.
-
button
coat
dress
hat
necklace
T-shirt
nappy
shoe
sock
sweater or jumper
zip
Here are some words that your child might understand and some that she might say. If she uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether she can do any of the following.
-
arm
tummy button (or belly button)
cheek
ear
eye
face
foot
finger
hair
hand
head
knee
leg
mouth
nose
tooth
toe
tongue
tummy
Here are some words that your child might understand and some that she might say. If she uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether she can do any of the following.
-
bathroom
bed
bedroom
chair
door
drawer
kitchen
living room or lounge
oven
fridge
sink
stairs
table
TV
window
Here are some words that your child might understand and some that she might say. If she uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether she can do any of the following.
-
flower
garden
home
house
moon
park
rain
sky
sun
swing
tree
water
Here are some words that your child might understand and some that she might say. If she uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether she can do any of the following.
-
bath
breakfast
hello
night night
no
please
thank you
yes
Here are some words that your child might understand and some that she might say. If she uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether she can do any of the following.
-
asleep
all gone
bad
big
broken
cold
dirty
dry
empty
gentle
happy
hot
hungry
hurt
little
naughty
nice
thirsty
tired
wet
When children are first learning to communicate, they often use gestures to make their wishes known. Which does your infant do?
-
extends arm to show you something she is holding
reaches out and gives you a toy or some object that she is holding
points (with arm &amp; index finger extended) at some interesting object or event
waves bye-bye on her own when someone leaves
extends her arms upward to signal a wish to be picked up
shakes head &#39;no&#39;
nods head &#39;yes&#39;
gestures &#39;hush&#39; by placing finger to lips
asks for something by opening and closing hand
blows kisses from a distance
Does she do or try to do any of the following?
-
eat with a spoon or fork
drink from a cup containing liquid
comb or brush own hair
brush teeth
wipe face or hands with a towel or cloth
put on hat
put on a shoe or sock
put on a necklace, bracelet or watch
lay head on hands and squeeze eyes shut as if sleeping
blow to indicate something is hot
hold plane and make it &#39;fly&#39;
put telephone to ear
sniff flowers
push toy car or truck
pour pretend liquid from one container to another
stir pretend liquid in a cup or pan with a spoon
FE_SECTION G: HER GROWTH
Do you have any records of your baby's growth since she was 6 months old? If so please list the dates on which your baby was weighed and how much she weighed each time. Also add lengths, head circumferences, and arm circumferences if they were measured.
Date Weight Length Head circumference Arm circumference
Generic dateGeneric textGeneric textGeneric textGeneric text Generic dateGeneric textGeneric textGeneric textGeneric text Generic dateGeneric textGeneric textGeneric textGeneric text Generic dateGeneric textGeneric textGeneric textGeneric text Generic dateGeneric textGeneric textGeneric textGeneric text
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

This questionnaire was completed by: mother

1
Yes
2
No

This questionnaire was completed by: father

1
Yes
2
No

This questionnaire was completed by: other (please describe)

1
Yes
2
No
Other

Please give the date on which you completed this questionnaire:

Generic date

Please give the date of birth of your infant:

Generic date
THANK YOU VERY MUCH FOR YOUR HELP

Space for any additional comments you would like to make

Long text
NB Please remember that we cannot respond personally to your comments unless they are signed.
When completed, please return the questionnaire to: Dr. Jean Golding, Children of the Nineties - ALSPAC, Institute of Child Health, 24, Tyndall Avenue, Bristol. BS8 1BR. Tel: Bristol 256260
MY INFANT SON
Babies grow so quickly, and change so much. This questionnaire asks about any accidents or problems he may have had, what he has been eating and drinking, his temperament and the way he may be beginning to understand the world about him.
It is like the other questionnaires you have received. To answer simply tick the box which best describes your son or your son's situation. Again some questions will seem similar but they are not the same. Please answer all questions that you can. If you cannot answer any questions or if they do not apply to you please put a line through them. There are no right or wrong answers. Please just describe what happens in your situation. You may make additional comments at the end. All answers are confidential.
THANK YOU FOR YOUR HELP
MA_SECTION A: ACCIDENTS AND INJURIES

Has he been burnt or scalded since he was 6 months old?

1
Yes
2
No
If no, go to A2a on page 4
If yes,
qc_ma_A1_a == 1

how many times?

How many
For each burn or scald please describe below what happened:
Place accident happened (eg. kitchen, garden, creche) What was he burnt with? (e.g tea, iron, electric fire) Date of accident (month, year) Injuries caused (if no injury write none) Who was with him? What did the person with him do? Other (please describe) What treatment did the person with him give? What other treatment did he have?
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
1st accident
2nd accident
3rd accident

Please describe how each accident happened: Burn 1

Generic text

Please describe how each accident happened: Burn 2

Generic text

Please describe how each accident happened: Burn 3

Generic text

Has he been dropped or had a bad fall since he was 6 months old?

1
Yes
2
No
If no, go to A3a on page 5
If yes,
qc_ma_A2_a == 1

how many times?

How many
For each fall please describe below what happened.
Place accident happened (eg. kitchen, garden, creche) What did he fall or drop from (eg. table, baby walker, pram, bed, your arms) Date of fall (month, year) Injuries caused (if no injury write none) Who was with him? What did the person with him do? Other (please describe) What treatment did the person with him give? What other treatment did he have?
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
1st accident
2nd accident
3rd accident

Please describe how each accident happened: Fall 1

Generic text

Please describe how each accident happened: Fall 2

Generic text

Please describe how each accident happened: Fall 3

Generic text

Has he swallowed anything he shouldn't have (such as pills, buttons, disinfectant) since he was 6 months old?

1
Yes
2
No
If no, go to A4a on page 6
If yes,
qc_ma_A3_a == 1

how many times?

How many
For each time please describe below what happened.
Place accident happened (eg. your home, nursery, at friend&#39;s) What did he swallow? Date of accident (month, year) Who was with him? What did the person with him do? Other (please describe) What treatment did the person with him give? What other treatment did he have?
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
1st accident
2nd accident
3rd accident

Please describe how each accident happened: Accident 1

Generic text

Please describe how each accident happened: Accident 2

Generic text

Please describe how each accident happened: Accident 3

Generic text

Has he had any other accidents or injuries since he was 6 months old?

1
Yes
2
No
If no, go to Section B on page 7
If yes,
qc_ma_A4_a == 1

how many other accidents?

How many
For each accident or injury please describe below what happened.
Place accident happened (eg. kitchen, garden, creche) What happened? Date of accident (month, year) Injuries caused (if no injury write none) Who was with him? What did the person with him do? Other (please describe) What treatment did the person with him give? What other treatment did he have?
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated him themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
1st accident
2nd accident
3rd accident

Please describe how each accident happened: Accident 1

Generic text

Please describe how each accident happened: Accident 2

Generic text

Please describe how each accident happened: Accident 3

Generic text
MA_SECTION B: PROBLEMS AND TREATMENT
Children often have accidents or illnesses that need treatment. Please indicate which of the following have been given to your child since he was six months old.
- If yes, please give full names of substances if you can

1 - Never

2 - Yes for one episode only

3 - Yes for 2 or more episodes

Generic text

1 - Never

2 - Yes for one episode only

3 - Yes for 2 or more episodes

Generic text
cough medicine
antibiotics/penicillin
throat medicine
vitamins
paracetamol/calpol
ointment for skin
eye ointment
diarrhoea mixture or pills
dimotapp/decongestant
ear drops
eye drops
teething gel
laxative
other (please describe)

Children often have accidents or illnesses that need treatment. Please indicate which of the

following have been given to your child since he was six months old. Since he was 6 months other (please describe)

Other

Are there any pills, ointments or medicines that he has taken every day or nearly every day for the last 3 months? (Include vitamins, skin cream, laxatives as well as antibiotics, etc)

1
Yes
2
No
If no, go to B3a below
If yes,
qc_ma_B2_a == 1

please describe:

Generic text
During the child's early months of life various possible problems are often identified - yet when investigated further they are often found not to be problems at all. In this section we are asking about any possible problem that might have arisen.

Has your toddler been investigated because it was thought he might have something wrong with his hips, his legs or his feet?

1
Yes
2
No
If no go to B4a on page 9
If yes,
qc_ma_B3_a == 1

were any problems found?

1
Yes
2
No
9
Don&#39;t know
If no, go to B4a on page 9
If yes,
qc_ma_B3_b == 1

please describe:

Generic text

how old was he? ... months (put 00 if less than 1 month)

Age in months

what treatment did he have?

Generic text
MA_Your child's hearing

Has anyone thought there might be a problem with his hearing?

1
Yes
2
No
If no, go to B5 below
If yes, [qc_ma_B4_a == 1

Who first suspected a problem?

1
I did
2
my partner did
3
other relative or friend
4
health visitor
5
doctor
6
someone else (please describe)
Other

Has your child been seen at the Hearing Assessment Centre?

1
Yes
2
No
If no, go to B5 below
If yes,
qc_ma_B4_c == 1

At what age? ... months

Age in months

What was decided?

Generic text
MA_Your child's sight

Has anyone thought there might be a problem with his eyesight?

1
Yes
2
No
If no go to B6 on page 10
If yes,
qc_ma_B5_a == 1

Who first suspected a problem?

1
I did
2
my partner did
3
other relative or friend
4
health visitor
5
doctor
6
someone else (please describe)
Other

What was thought to be wrong with his eyes?

1
squint
2
something else (please describe)
9
don&#39;t know
Other

Has your child ever been referred to an eye specialist?

1
Yes
2
No
If no go to B6 below
If yes,
qc_ma_B5_d == 1

at what age? ... months

Age in months

What was decided?

Generic text

What treatment was given?

Generic text
MA_Other problems

Have there been any other problems for which your child was referred to a specialist?

1
Yes
2
No
If no, go to Section C on page 11
If yes
qc_ma_B6_a == 1

For how many different problems?

How many
Please list, for each problem, what has happened:
What was thought to be the problem? Have you seen the specialist? What age was he the first time he was seen for this problem? ... months What was decided? What treatment was given?
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Problem No. 1
Problem No. 2
Problem No. 3
MA_SECTION C: YOUR INFANT AND HIS ENVIRONMENT

What does your son look like? His hair is:

1
black
2
dark brown
3
light brown
4
fair
5
reddish
6
other (please describe)
Other

What does your son look like? His eyes are:

1
blue
2
brown
3
green
4
other (please describe)
Other

Does he have any unusual marks on his face?

1
yes, a scar
2
yes, a birthmark
3
yes, other mark
4
no, not at all
If no, go to C1d below
If yes,
qc_ma_C1_c == 1 || qc_ma_C1_c == 2 || qc_ma_C1_c == 3

please describe what the mark is like, where it is and how big it is:

Generic text

what difference do you think this makes to his looks?

1
improves them
2
no difference
3
makes worse

Does he have any unusual marks on other parts of his body?

1
yes, a scar
2
yes, a birthmark
3
yes, other mark
4
no, not at all
If no, go to C2a
If yes,
qc_ma_C1_d == 1 || qc_ma_C1_d == 2 || qc_ma_C1_d == 3
please describe (for each):
Where it is What it is How big it is
Generic textGeneric textGeneric text Generic textGeneric textGeneric text Generic textGeneric textGeneric text
1
2
3

How many teeth has he got now?

How many

How old was he when the first one appeared? ... months

Age in months

Do you use a toothbrush for the child?

1
yes, every day
2
yes, sometimes
3
no not at all

Does he ever have toothpaste?

1
Yes
2
No
If no, go to C3 on page 13
If yes,
qc_ma_C2_d == 1

how old was he when you started using toothpaste? ... months

Age in months

how much do you put on his brush nowadays?

1
brush full
2
half brush full
3
less than half a brush full
4
none

how many times a day do you do this? ... times

How many

does he swallow it or spit it out?

1
swallows it
2
spits it out
3
varies

what type of toothpaste is usually used: (please give exact name and brand)

Generic text

All children get dirty. How often in a normal day: is his face washed?

1
not at all
2
1-2 times
3
3-4 times
4
5 or more times

All children get dirty. How often in a normal day: are his hands washed or wiped?

1
not at all
2
1-2 times
3
3-4 times
4
5 or more times

All children get dirty. How often in a normal day: are his hands cleaned before a meal?

1
always
2
usually
3
sometimes
4
occasionally
5
never

How often does he usually: have a bath or shower:

1
more than once a day
2
once every day
3
several times a week
4
once a week
5
hardly ever

How often does he usually: have his ear holes cleaned:

1
more than once a day
2
once every day
3
several times a week
4
once a week
5
never or hardly ever

What do you think about toilet training for him?

1
It is too early to start any toilet training yet
2
I have just started toilet training
3
I have been toilet training for some time
If I have been toilet training for some time to question C5
qc_ma_C5 == 3

give age you started training ... months

Age in months

At what age would you expect a child to be dry? during the day ... months

Age in months

At what age would you expect a child to be dry? during the night ... months

Age in months

Is he: dry during the day

1
Always
2
Sometimes
3
Never

Is he: dry during the night

1
Always
2
Sometimes
3
Never

Is he: clean during the day

1
Always
2
Sometimes
3
Never

Is he: clean during the night

1
Always
2
Sometimes
3
Never

Please indicate how often during the day he is in a room or enclosed place where people are smoking: Weekdays

1
all the time
2
more than 5 hours
3
3,4 or 5 hours
4
1 or 2 hours
5
less than 1 hour
6
not at all

Please indicate how often during the day he is in a room or enclosed place where people are smoking: Weekends

1
all the time
2
more than 5 hours
3
3,4 or 5 hours
4
1 or 2 hours
5
less than 1 hour
6
not at all
Which pets is he in contact with at least once a week either in your home or elsewhere?
-
cat(s)
dog(s)
other furry pet*(s)
other pet*(s)

Which pets is he in contact with at least once a week either in your home or elsewhere? *please describe

Generic text
MA_SECTION D: FEEDING

How many meals with solids does he have each day?

How many

Was he breast fed?

1
Yes, he is still being breast fed
2
Yes, was breast fed but now stopped
3
He was never breast fed
If Yes, he is still being breast fed to question D2
qc_ma_D2 == 1

How many times a day? ... times

How many
If Yes, was breast fed but now stopped to question D2
qc_ma_D2 == 2

How old was he when breastfeeding stopped?

Age in months
For the main meal of the day does he eat:
-
the same food as you
a different meal that you prepare
a ready-prepared meal out of a packet or tin

Do you feel that you have had difficulties feeding him in the past year?

1
Yes, great difficulty
2
Yes, some difficulty
3
Yes, occasional difficulty
4
No, no difficulty

Does he want to feed himself?

1
Yes usually
2
Yes sometimes
3
No not at all

Do you let him feed himself?

1
Yes usually
2
Yes sometimes
3
No not at all
Since he was 6 months old has he at any time:
-
not eaten sufficient amount of food
refused to eat the right food
been choosy with food
over-eaten
been difficult to get into an eating routine
Since he was 6 months old has he had any of the following
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
baby milk (formula)
follow-on milk
soya formula
hypo-allergenic formula
goats&#39; milk
soya milk
ordinary cows&#39; milk
other milk

when he has cows' milk is it mostly:

1
whole
2
semi-skimmed
3
or skimmed
4
never had cows milk
Since he was 6 months old has he had:
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
baby rice
other baby cereal
breakfast cereal
rusks
bread or toast
biscuits
Since he was 6 months old has he had any of the following prepared baby foods, toddler foods or junior foods (from jar, tin or packet)?
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
savoury - meat
savoury - fish
savoury vegetable
baby fruit dessert or pudding
baby milk dessert or pudding
Since he was 6 months old has he eaten any of these other foods (not bought baby or toddler foods)?
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
egg
cheese
meat or meat products
fish or fish products
potatoes
other vegetables
fruit puddings
milk puddings
Since he was 6 months old has he had:
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
coca cola or pepsi
other fizzy drink
apple juice
blackcurrant juice or rosehip syrup
other fruit juice
a little alcohol
any other fruit drink (e.g. orange squash)
herbal drink (please describe)
gripe water
tea
coffee

Since he was 6 months old has he had: herbal drink (please describe)

Generic text

Which type of these drinks does your child have nowadays?(tick all that apply) tea

1
decaffeinated
2
weak
4
strong
6
does not like
7
does not have

Which type of these drinks does your child have nowadays?(tick all that apply) coffee

1
decaffeinated
2
weak
4
strong
6
does not like
7
does not have

Which type of these drinks does your child have nowadays?(tick all that apply) cola

1
decaffeinated
2
ordinary
4
diet
6
does not like
7
does not have

Which type of these drinks does your child have nowadays?(tick all that apply) other soft drinks

1
decaffeinated
2
ordinary
4
diet
6
does not like
7
does not have
Since he was 6 months old, has your child had the following, whether in baby foods or elsewhere:
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
Packet soup
Canned soup
Liver/liver pate
Kidney
Shellfish (eg. prawns mussels, cockles)
Baked beans
Green peas
Other legumes (eg. lentils, chick peas, red kidney beans)
Yoghurt
Figs/fig products
Raw apple
Other raw fruit (eg. banana/orange)
Raw carrot
Other raw vegetables (please describe)
Nuts/nut products
Crisps
Other cocktail or savoury snacks (eg. cheesy biscuits)
Chocolates
Mints (eg. polo)
Sweets

Since he was 6 months old, has your child had the following, whether in baby foods or elsewhere: Other raw vegetables (please describe)

Other
Do you ever add these things to your child's food or use them in preparing his food?
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
Gravy (made with granules, powder or cubes) or soy sauce
Salt
Herbs (please describe)
Spices (please describe)
Tomato ketchup
Other sauce (please describe)
Sugar

Do you ever add these things to your child's food or use them in preparing his food? Herbs (please describe)

Generic text

Do you ever add these things to your child's food or use them in preparing his food? Spices (please describe)

Generic text

Do you ever add these things to your child's food or use them in preparing his food? Other sauce (please describe)

Other

Skins and peels: does he eat: apple skin

1
No
2
Yes
3
Doesn&#39;t have this at all

Skins and peels: does he eat: orange peel

1
No
2
Yes
3
Doesn&#39;t have this at all

Skins and peels: does he eat: potato skin

1
No
2
Yes
3
Doesn&#39;t have this at all

Skins and peels: does he eat: other fruit or vegetable skin (please describe)

1
No
2
Yes
3
Doesn&#39;t have this at all
Other
Has your infant ever had:
- Age started ... months How often nowadays (Put 00 if no longer happens) ... times a week

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many

1 - No

2 - Yes

Age in monthsHow many
smoked/cured foods (ham, bacon, smoked fish,smoked cheese)
individually packaged microwave meals
foods cooked on a barbecue
sports drinks (eg. Lucozade sport, Dexters)
If yes
qc_ma_D15_a-d == 2

please describe

Generic text

Is he fed 'on demand', i.e. whenever he is hungry?

1
Yes always
2
Yes some of the time
3
No not at all

Are there any other foods that your child eats that haven't been included above?

1
Yes
2
No
If no, go to D18
If yes please describe:
qc_ma_D17 == 1
_food < 4

Food

Generic text

Age started ... months

Age in months

How often nowadays ... times a week

How many

When shopping do you deliberately choose for your toddler labels that say: low sugar

1
Usually
2
Sometimes
3
Never

When shopping do you deliberately choose for your toddler labels that say: iron added

1
Usually
2
Sometimes
3
Never

Are there any foods that you don't allow your toddler to eat?

1
yes
2
no
If yes,
qc_ma_D19 == 1

please list the foods and why:

Generic text

Babies first solid meals are usually a puree. When did your child first start having meals with lumps in? Age started ... months

Age in months

Who most often feeds him during the day?

1
you
2
partner
3
paid helper
4
other person (describe)
Other

Who usually feeds him at night?

1
you
2
partner
3
paid helper
4
don&#39;t feed at night
5
other person (describe)
Other

Does your toddler have definite likes and dislikes as far as food is concerned?

1
no, will eat almost anything
2
yes, quite choosy
3
yes, very choosy

Does he drink out of a cup or feeding beaker?

1
yes, usually
2
yes, sometimes
3
no, not at all

How often do you put him down to sleep with a bottle (whether at night or during the day)?

1
always
2
sometimes
3
never

How often does he suck a dummy or his thumb or finger? dummy

2
most of the time
3
sometimes
4
never

How often does he suck a dummy or his thumb or finger? thumb/finger

2
most of the time
3
sometimes
4
never

When you give him a dummy, how often is it dipped in or filled with something that tastes nice?

1
usually
2
sometimes
3
never
7
doesn&#39;t have a dummy

Apart from his fingers, thumb or a dummy does he have a special object that he uses for comfort?

1
Yes
2
No
MA_SECTION E: CHILDCARE
Apart from yourself, who regularly looks after your infant? (Please answer for each person regularly involved).
- If yes, give hours per week and Age of baby when this began (in months)

1 - No

2 - Yes

Hours per weekAge in months

1 - No

2 - Yes

Hours per weekAge in months

1 - No

2 - Yes

Hours per weekAge in months
partner
baby&#39;s grandparent
other relative
friend/neighbour
paid person outside baby&#39;s home (eg. child minder)
paid person in baby&#39;s home eg. nanny, baby sitter)
day nursery (creche)
other (please describe)

Apart from yourself, who regularly looks after your infant? (Please answer for each person regularly involved). other (please describe)

Other

What was the main reason for choosing this form of childcare?

1
I had no choice
2
I could afford it
3
It was convenient
4
It was linked to my job
5
I thought it would be beneficial for my child
6
Other (please describe)
Other

How satisfied are you with these arrangements?

1
very satisfied
2
fairly satisfied
3
not at all happy
Since your baby was born, please list below all daytime child care arrangements (other than yourselves) according to the age of this child.
No. of hours/week during the day Person (eg childminder grandmother) Place (eg at home, creche, etc)
How manyGeneric textGeneric text How manyGeneric textGeneric text How manyGeneric textGeneric text
1 month
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
13 months
14 months
15 months

How many different people other than you or your partner have looked after your baby during the day since he was born? (count each nursery or creche as 1 person)

How many
MA_SECTION F: UNDERSTANDING AND TALKING
Before beginning to speak, children often show signs of understanding some words and phrases. Does your child do any of these?
-
turns when his name is called
stops what he is doing (even for a moment) when you say &#39;no&#39;

Which of these does your child understand? He understands: Are you sleepy?

1
Yes
2
No

Which of these does your child understand? He understands: Be quiet

1
Yes
2
No

Which of these does your child understand? He understands: Come here

1
Yes
2
No

Which of these does your child understand? He understands: Do you want more?

1
Yes
2
No

Which of these does your child understand? He understands: Don't do that

1
Yes
2
No

Which of these does your child understand? He understands: Give me a kiss

1
Yes
2
No

Which of these does your child understand? He understands: Don't touch

1
Yes
2
No

Which of these does your child understand? He understands: Open your mouth

1
Yes
2
No

Which of these does your child understand? He understands: Sit down

1
Yes
2
No

Which of these does your child understand? He understands: Spit it out

1
Yes
2
No

Which of these does your child understand? He understands: Stop it

1
Yes
2
No

Which of these does your child understand? He understands: Time for bed

1
Yes
2
No

Starting to talk. Some children like to imitate things that they've just heard. How often does your child imitate words?

1
never
2
sometimes
3
often

Starting to talk. Some children like to name or label things. How often does your child do this?

1
never
2
sometimes
3
often
Here are some words that your child might understand and some that he might say. If he uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether he can do any of the following.
-
ba ba (sheep)
meow (cat)
moo (cow)
quack quack (duck)
woof woof (dog)
Here are some words that your child might understand and some that he might say. If he uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether he can do any of the following.
-
bird
butterfly
cat
chicken
cow
dog
donkey
elephant
fish
frog
horse
lion
monkey
owl
penguin
pig
teddy bear
Here are some words that your child might understand and some that he might say. If he uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether he can do any of the following.
-
car
bus
bicycle
aeroplane
train
lorry
motorbike
Here are some words that your child might understand and some that he might say. If he uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether he can do any of the following.
-
apple
banana
bread
cake
carrots
cheese
chicken
drink
egg
fish
ice cream
juice
meat
milk
orange
peas
sweets
spaghetti
toast
water
Here are some words that your child might understand and some that he might say. If he uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether he can do any of the following.
-
button
coat
dress
hat
necklace
T-shirt
nappy
shoe
sock
sweater or jumper
zip
Here are some words that your child might understand and some that he might say. If he uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether he can do any of the following.
-
arm
tummy button (or belly button)
cheek
ear
eye
face
foot
finger
hair
hand
head
knee
leg
mouth
nose
tooth
toe
tongue
tummy
Here are some words that your child might understand and some that he might say. If he uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether he can do any of the following.
-
bathroom
bed
bedroom
chair
door
drawer
kitchen
living room or lounge
oven
fridge
sink
stairs
table
TV
window
Here are some words that your child might understand and some that he might say. If he uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether he can do any of the following.
-
flower
garden
home
house
moon
park
rain
sky
sun
swing
tree
Here are some words that your child might understand and some that he might say. If he uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether he can do any of the following.
-
bath
breakfast
hello
night night
no
please
thank you
yes
Here are some words that your child might understand and some that he might say. If he uses a different pronunciation (like efant for elephant) tick it anyway. Please tick whether he can do any of the following.
-
asleep
all gone
bad
big
broken
cold
dirty
dry
empty
gentle
happy
hot
hungry
hurt
little
naughty
nice
thirsty
tired
wet
When children are first learning to communicate, they often use gestures to make their wishes known. Which does your infant do?
-
extends arm to show you something he is holding
reaches out and gives you a toy or some object that he is holding
points (with arm &amp; index finger extended) at some interesting object or event
waves bye-bye on his own when someone leaves
extends his arms upward to signal a wish to be picked up
shakes head &#39;no&#39;
nods head &#39;yes&#39;
gestures &#39;hush&#39; by placing finger to lips
asks for something by opening and closing hand
blows kisses from a distance
Does he do or try to do any of the following?
-
eat with a spoon or fork
drink from a cup containing liquid
comb or brush own hair
brush teeth
wipe face or hands with a towel or cloth
put on hat
put on a shoe or sock
put on a necklace, bracelet or watch
lay head on hands and squeeze eyes shut as if sleeping
blow to indicate something is hot
hold plane and make it &#39;fly&#39;
put telephone to ear
sniff flowers
push toy car or truck
pour pretend liquid from one container to another
stir pretend liquid in a cup or pan with a spoon
MA_SECTION G: HIS GROWTH
Do you have any records of your baby's growth since he was 6 months old? If so please list the dates on which your baby was weighed and how much he weighed each time. Also add lengths, head circumferences, and arm circumferences if they were measured.
Date Weight Length Head circumference Arm circumference
Generic dateGeneric textGeneric textGeneric textGeneric text Generic dateGeneric textGeneric textGeneric textGeneric text Generic dateGeneric textGeneric textGeneric textGeneric text Generic dateGeneric textGeneric textGeneric textGeneric text Generic dateGeneric textGeneric textGeneric textGeneric text
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

This questionnaire was completed by: mother

1
Yes
2
No

This questionnaire was completed by: father

1
Yes
2
No

This questionnaire was completed by: other (please describe)

1
Yes
2
No
Other

Please give the date on which you completed this questionnaire:

Generic date

Please give the date of birth of your infant:

Generic date
THANK YOU VERY MUCH FOR YOUR HELP

Space for any additional comments you would like to make

Long text
NB Please remember that we cannot respond personally to your comments unless they are signed.
When completed, please return the questionnaire to: Dr. Jean Golding, Children of the Nineties - ALSPAC, Institute of Child Health, 24, Tyndall Avenue, Bristol. BS8 1BR. Tel: (0117) 928 5007
End

alspac_92_misd

MY INFANT DAUGHTER

Babies grow so quickly, and change so much. This questionnaire asks about any accidents or problems she may have had, what she has been eating and drinking, her temperament and the way she may be beginning to understand the world about her.
It is like the other questionnaires you have received. To answer simply tick the box which best describes your daughter or her situation. Again some questions will seem similar but they are not the same. Please answer all questions that you can. If you cannot answer any questions or if they do not apply to you please put a line through them. There are no right or wrong answers. Please just describe what happens in your situation. You may make additional comments at the end. All answers are confidential.
THANK YOU FOR YOUR HELP

FE_SECTION A: ACCIDENTS AND INJURIES

Has she been burnt or scalded since she was 6 months old?
1
Yes
2
No
If no, go to A2a on page 4
qc_fe_A1_a == 1
how many times?
How many
qc_fe_A1_a == 1

For each burn or scald please describe below what happened:

Place accident happened (eg. kitchen, garden, creche) What was she burnt with? (e.g tea, iron, electric fire) Date of accident (month, year) Injuries caused (if no injury write none) Who was with her? What did the person with her do? Other (please describe) What treatment did the person with her give? What other treatment did she have?
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
1st accident
2nd accident
3rd accident
qc_fe_A1_a == 1
Please describe how each accident happened: Burn 1
Generic text
qc_fe_A1_a == 1
Please describe how each accident happened: Burn 2
Generic text
qc_fe_A1_a == 1
Please describe how each accident happened: Burn 3
Generic text
Has she been dropped or had a bad fall since she was 6 months old?
1
Yes
2
No
If no, go to A3a on page 5
qc_fe_A2_a == 1
how many times?
How many
qc_fe_A2_a == 1

For each fall please describe below what happened.

Place accident happened (eg. kitchen, garden, creche) What did she fall or drop from (eg. table, baby walker, pram, bed, your arms) Date of fall (month, year) Injuries caused (if no injury write none) Who was with her? What did the person with her do? Other (please describe) What treatment did the person with her give? What other treatment did she have?
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
1st accident
2nd accident
3rd accident
qc_fe_A2_a == 1
Please describe how each accident happened: Fall 1
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qc_fe_A2_a == 1
Please describe how each accident happened: Fall 2
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qc_fe_A2_a == 1
Please describe how each accident happened: Fall 3
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Has she swallowed anything she shouldn't have (such as pills, buttons, disinfectant) since she was 6 months old?
1
Yes
2
No
If no, go to A4a on page 6
qc_fe_A3_a == 1
how many times?
How many
qc_fe_A3_a == 1

For each time please describe below what happened.

Place accident happened (eg. your home, nursery, at friend&#39;s) What did she swallow? Date of accident (month, year) Who was with her? What did the person with her do? Other (please describe) What treatment did the person with her give? What other treatment did she have?
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
1st accident
2nd accident
3rd accident
qc_fe_A3_a == 1
Please describe how each accident happened: Accident 1
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qc_fe_A3_a == 1
Please describe how each accident happened: Accident 2
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qc_fe_A3_a == 1
Please describe how each accident happened: Accident 3
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Has she had any other accidents or injuries since she was 6 months old?
1
Yes
2
No
If no, go to Section B on page 7
qc_fe_A4_a == 1
how many other accidents?
How many
qc_fe_A4_a == 1

For each accident or injury please describe below what happened.

Place accident happened (eg. kitchen, garden, creche) What happened? Date of accident (month, year) Injuries caused (if no injury write none) Who was with her? What did the person with her do? Other (please describe) What treatment did the person with her give? What other treatment did she have?
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
Generic textGeneric textGeneric dateGeneric textGeneric text

1 - Nothing

2 - Treated her themselves

3 - Took to doctor

4 - Took to hospital

5 - Other (please describe)

OtherGeneric textGeneric text
1st accident
2nd accident
3rd accident
qc_fe_A4_a == 1
Please describe how each accident happened: Accident 1
Generic text
qc_fe_A4_a == 1
Please describe how each accident happened: Accident 2
Generic text
qc_fe_A4_a == 1
Please describe how each accident happened: Accident 3
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FE_SECTION B: PROBLEMS AND TREATMENTS

Children often have accidents or illnesses that need treatment. Please indicate which of the following have been given to your child since she was six months old.

- If yes, please give full names of substances if you can

1 - Never

2 - Yes for one episode only

3 - Yes for 2 or more episodes

Generic text

1 - Never

2 - Yes for one episode only

3 - Yes for 2 or more episodes

Generic text
cough medicine
antibiotics/penicillin
throat medicine
vitamins
paracetamol/calpol
ointment for skin
eye ointment
diarrhoea mixture or pills
dimotapp/decongestant
ear drops
eye drops
teething gel
laxative
other (please describe)
Children often have accidents or illnesses that need treatment. Please indicate which of the following have been given to your child since she was six months old. Since she was 6 months other (please describe)
Other
Are there any pills, ointments or medicines that she has taken every day or nearly every day for the last 3 months? (Include vitamins, skin cream, laxatives as well as antibiotics, etc)
1
Yes
2
No
If no, go to B3a below
qc_fe_B2_a == 1
please describe:
Generic text
During the child's early months of life various possible problems are often identified - yet when investigated further they are often found not to be problems at all. In this section we are asking about any possible problem that might have arisen.
Has your toddler been investigated because it was thought she might have something wrong with her hips, her legs or her feet?
1
Yes
2
No
If no go to B4a on page 9
qc_fe_B3_a == 1
were any problems found?
1
Yes
2
No
9
Don&#39;t know
qc_fe_B3_a == 1
If no, go to B4a on page 9
qc_fe_B3_a == 1
qc_fe_B3_b == 1
please describe:
Generic text
qc_fe_B3_a == 1
qc_fe_B3_b == 1
how old was she? ... months (put 00 if less than 1 month)
Age in months
qc_fe_B3_a == 1
qc_fe_B3_b == 1
what treatment did she have?
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FE_Your child's hearing

Has anyone thought there might be a problem with her hearing?
1
Yes
2
No
If no, go to B5 below
qc_fe_B4_a == 1
Who first suspected a problem?
1
I did
2
my partner did
3
other relative or friend
4
health visitor
5
doctor
6
someone else (please describe)
Other
qc_fe_B4_a == 1
Has your child been seen at the Hearing Assessment Centre?
1
Yes
2
No
qc_fe_B4_a == 1
If no, go to B5 below
qc_fe_B4_a == 1
qc_fe_B4_c == 1
At what age? ... months
Age in months
qc_fe_B4_a == 1
qc_fe_B4_c == 1
What was decided?
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FE_Your child's sight

Has anyone thought there might be a problem with her eyesight?
1
Yes
2
No
If no go to B6 on page 10
qc_fe_B5_a == 1
Who first suspected a problem?
1
I did
2
my partner did
3
other relative or friend
4
health visitor
5
doctor
6
someone else (please describe)
Other
qc_fe_B5_a == 1
What was thought to be wrong with her eyes?
1
squint
2
something else (please describe)
9
don&#39;t know
Other
qc_fe_B5_a == 1
Has your child ever been referred to an eye specialist?
1
Yes
2
No
qc_fe_B5_a == 1
If no go to B6 below
qc_fe_B5_a == 1
qc_fe_B5_d == 1
at what age? ... months
Age in months
qc_fe_B5_a == 1
qc_fe_B5_d == 1
What was decided?
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qc_fe_B5_a == 1
qc_fe_B5_d == 1
What treatment was given?
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FE_Other problems

Have there been any other problems for which your child was referred to a specialist?
1
Yes
2
No
If no, go to Section C on page 11
qc_fe_B6_a == 1
For how many different problems?
How many
qc_fe_B6_a == 1

Please list, for each problem, what has happened:

What was thought to be the problem? Have you seen the specialist? What age was she the first time she was seen for this problem? ... months What was decided? What treatment was given?
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Generic text

1 - Yes

2 - No

Age in monthsGeneric textGeneric text
Problem No. 1
Problem No. 2
Problem No. 3

FE_SECTION C: YOUR INFANT AND HER ENVIRONMENT

What does your daughter look like? Her hair is:
1
black
2
dark brown
3
light brown
4
fair
5
reddish
6
other (please describe)
Other
What does your daughter look like? Her eyes are:
1
blue
2
brown
3
green
4
other (please describe)
Other
Does she have any unusual marks on her face?
1
yes, a scar
2
yes, a birthmark
3
yes, other mark
4
no, not at all
If no, go to C1d below
qc_fe_C1_c == 1 || qc_fe_C1_c == 2 || qc_fe_C1_c == 3
please describe what the mark is like, where it is and how big it is:
Generic text
qc_fe_C1_c == 1 || qc_fe_C1_c == 2 || qc_fe_C1_c == 3
what difference do you think this makes to her looks?
1
improves them
2
no difference
3
makes worse
Does she have any unusual marks on other parts of her body?
1
yes, a scar
2
yes, a birthmark
3
yes, other mark
4
no, not at all
If no, go to C2a
qc_fe_C1_d == 1 || qc_fe_C1_d == 2 || qc_fe_C1_d == 3

please describe (for each):

Where it is What it is How big it is
Generic textGeneric textGeneric text Generic textGeneric textGeneric text Generic textGeneric textGeneric text
1
2
3
How many teeth has she got now?
How many
How old was she when the first one appeared? ... months
Age in months
Do you use a toothbrush for the child?
1
yes, every day
2
yes, sometimes
3
no not at all
Does she ever have toothpaste?
1
Yes
2
No
If no, go to C3 on page 13
qc_fe_C2_d == 1
how old was she when you started using toothpaste? ... months
Age in months
qc_fe_C2_d == 1
how much do you put on her brush nowadays?
1
brush full
2
half brush full
3
less than half a brush full
4
none
qc_fe_C2_d == 1
how many times a day do you do this? ... times
How many
qc_fe_C2_d == 1
does she swallow it or spit it out?
1
swallows it
2
spits it out
3
varies
qc_fe_C2_d == 1
what type of toothpaste is usually used: (please give exact name and brand)
Generic text
All children get dirty. How often in a normal day: is her face washed?
1
not at all
2
1-2 times
3
3-4 times
4
5 or more times
All children get dirty. How often in a normal day: are her hands washed or wiped?
1
not at all
2
1-2 times
3
3-4 times
4
5 or more times
All children get dirty. How often in a normal day: are her hands cleaned before a meal?
1
always
2
usually
3
sometimes
4
occasionally
5
never
How often does she usually: have a bath or shower:
1
more than once a day
2
once every day
3
several times a week
4
once a week
5
hardly ever
How often does she usually: have her ear holes cleaned:
1
more than once a day
2
once every day
3
several times a week
4
once a week
5
never or hardly ever
What do you think about toilet training for her?
1
It is too early to start any toilet training yet
2
I have just started toilet training
3
I have been toilet training for some time
qc_fe_C5 == 3
give age you started training ... months
Age in months
At what age would you expect a child to be dry? during the day ... months
Age in months
At what age would you expect a child to be dry? during the night ... months
Age in months
Is she: dry during the day
1
Always
2
Sometimes
3
Never
Is she: dry during the night
1
Always
2
Sometimes
3
Never
Is she: clean during the day
1
Always
2
Sometimes
3
Never
Is she: clean during the night
1
Always
2
Sometimes
3
Never
Please indicate how often during the day she is in a room or enclosed place where people are smoking: Weekdays
1
all the time
2
more than 5 hours
3
3,4 or 5 hours
4
1 or 2 hours
5
less than 1 hour
6
not at all
Please indicate how often during the day she is in a room or enclosed place where people are smoking: Weekends
1
all the time
2
more than 5 hours
3
3,4 or 5 hours
4
1 or 2 hours
5
less than 1 hour
6
not at all

Which pets is she in contact with at least once a week either in your home or elsewhere?

-
cat(s)
dog(s)
other furry pet*(s)
other pet*(s)
Which pets is she in contact with at least once a week either in your home or elsewhere? *please describe
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FE_SECTION D: FEEDING

How many meals with solids does she have each day?
How many
Was she breast fed?
1
Yes, she is still being breast fed
2
Yes, was breast fed but now stopped
3
She was never breast fed
qc_fe_D2 == 1