Question

Name

qi_s1_2_a

Label

s1 2(a)

Question Text

What does your child look like? His/her hair is:

Instructions

(Please circle a response)

Type
Code List
Selection Style
SelectOne
Type
Text
Maximum Length
255

Usage

3 questions before...

What is your baby's age now? … months and … weeks old

Age in months
Weeks

What does your child look like? His/her hair is:

(Please circle a response)

1
black
2
dark brown
3
light brown
4
fair
5
reddish
6
other
Other

What does your child look like? His/her eyes are:

(Please circle a response)

1
blue
2
brown
3
green
4
other
Other
278 questions after...