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About you and your baby

A little bit about you:

1. H ow many children do you have?

2. How old are you?

1. H ow many children do you have? 2. How old are you? 1 s t
1. H ow many children do you have? 2. How old are you? 1 s t

1 st Session.

Age: Under 1.

3. a) Are you currently employed (if you are on Maternity Leave please tick Yes) ? Y * N *

b) If Yes what is your job title or if No what was your last job title before you stopped work ?

No what was your last job title before you stopped work ? 4. What is the

4. What is the highest level of education you completed? Please tick one option .

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*

*

*

*

Up to GCSE

A level

Diploma

Degree

Post - grad

A bit more about your baby:

5. Was your baby born on or after 37 weeks gestation? Y * N *

6. What was his/her birth weight?

gestation? Y * N * 6. What was his/her birth weight? (Lbs and oz) or (g)

(Lbs and oz) or

* N * 6. What was his/her birth weight? (Lbs and oz) or (g) 7. Does

(g)

7. Does your baby have any health problems? Y * N *

If Yes: Please discuss this with the researcher to make sure it is still suitable for your baby

to take part in the study.

8. Is your baby a Boy * or Girl *

9. How old is your baby in weeks ?

a Boy * or Girl * 9. How old is your baby in weeks ? 10.

10. a) How did you feed your baby at birth ? Please tick one option .

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*

*

Breast - fed

Expressed breast milk

Formula milk

b ) How are you currently feeding your baby ? Please tick all that apply.

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*

*

Breast - fe e d ing

Expressed breast milk

Formula /other milk

c ) If your baby has had formula milk how old was your baby in weeks when he/she first had

formula /other milk?

baby in weeks when he/she first had formula /other milk? d) If you breastfed your baby

d) If you breastfed your baby at birth but have now stopped. How old was your baby in

weeks when you stopped breastfeeding?

old was your baby in weeks when you stopped breastfeeding? 11. IN THE PAST WEEK: Ha

11. IN THE PAST WEEK: Ha s your baby been eating any solid food ? Y * N *

If No : T hank you and please stop here and complete your Contact Details on Page 6.

If Yes: Please comp lete questions 12 - 16 on Pages 3 and 4.

A bit about weaning: (Only compl ete this section if your baby has started eating solid food ).

12. What age was your baby in weeks when he/ she started eating solids?

13. When your baby FIRST STARTED SOLIDS ….

solids? 13. When your baby FIRST STARTED SOLIDS …. ( IMPORTANT : This is not what

( IMPORTANT : This is not what your baby does now but what happened when you first started weaning/ introducing solids . Please tick one option from part a ) and one option from part b)

a) Did your baby f eed him/herself unaided? Please tick one option .

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*

*

*

*

Always

Often

Sometimes

Rarely

Never

Every piece of food

Most of the time

About half the time

Most of the time an adult fed baby with a spoon. Baby occasionally fed

An adult always fed baby by putting the food into baby’s mouth with a spoon.

that went into

baby fed self but

baby fed self.

his/her mouth was

needed occasional

put there by baby.

help e.g. to eat a

self e.g. a rusk or toast.

yoghurt.

 

b) Did your baby e at pureed or mashed food (rather than finger foods)? Please tick one opt ion .

*

*

*

*

*

Always

Often

Sometimes

Rarely

Never

All food was of a

Most food was of a

About half the time

Most of the time

Baby always ate

pureed or mashed

pureed or mashed

food was pureed or

baby ate finger

finger foods in their

texture, this

texture but

mashed, half the

foods but

whole form. E.g.

includes baby

occasionally baby

time baby ate

occasionally baby

sticks of carrot,

cereal/ rice.

ate finger - foods

finger foods.

ate something like

toast, c hunks of

e.g. rusk or toast.

yoghurt or baby

banana. No purees.

cereal/rice.

14. How does your baby eat NOW ?

a) Does your baby feed him/herself unaided? Please tick one option .

*

*

*

*

*

Always

Often

Sometimes

Rarely

Never

b) Does your baby e at pureed or mashed food (rather than finger foods)? Please tick one option .

*

*

*

*

*

Always

Often

Sometimes

Rarely

Never

A bit more about how your baby eats now:

15 . IN THE PAST WEEK: Please describe a typical day’s feeding:

a) How m any milk feeds does your baby h a ve in 24 hours?

a) How m any milk feeds does your baby h a ve in 24 hours? b)

b) How many times does your baby eat solids per day (meal or snack)?

times does your baby eat solids per day (meal or snack)? c) H ow much of

c) H ow much of your baby’s food intake comes from milk or solids? Please tick one option .

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*

*

*

*

All from milk. No solids.

Mostly from

About half

Not much

All from

milk. Small

from milk/half

from milk.

solids. No

 

amounts of

from solids.

Mostly from

milk.

solids.

solids

16. What did your baby eat and drink YESTERDAY ? ( Please try to be as specific as you can and

include milk feeds)

E .g.

Breakfast: 20 minute breastfeed. ½ slice of brown toast with butter. ¼ of a banana. Lunchtime: 7oz formula milk (SMA), ½ jar of Heinz Sweet potatoes. (include brand name if possible) Evening meal: Home - made spaghetti Bolognese. 4 tablespoons.

meal: Home - made spaghetti Bolognese. 4 tablespoons. Thank you for your time. There are no

Thank you for your time. There are no more questions - P lease complete your Contact Details on

P age 6 .

FOR COMPLETION BY RESEARCHER

Boy * or Girl *

Weight (g)

FOR COMPLETION BY RESEARCHER Boy * or Girl * Weight (g) Length (cm) Head Circumfere nce

Length (cm)

BY RESEARCHER Boy * or Girl * Weight (g) Length (cm) Head Circumfere nce (cm )

Head Circumfere nce (cm )

BY RESEARCHER Boy * or Girl * Weight (g) Length (cm) Head Circumfere nce (cm )

CODE NAME

BY RESEARCHER Boy * or Girl * Weight (g) Length (cm) Head Circumfere nce (cm )

Date:

BY RESEARCHER Boy * or Girl * Weight (g) Length (cm) Head Circumfere nce (cm )

Session number:

BY RESEARCHER Boy * or Girl * Weight (g) Length (cm) Head Circumfere nce (cm )

Parent’s n ame:

Contact Details

CODE NAME

Baby’s Name :

Baby’s Date of Birth:

Home Address

(for home visit) :

Post Code:

OR

Baby Group Address:

(for group visit)

Contact Number :

Email (optional) :

Address (for home visit) : Post Code: OR Baby Group Address: (for group visit) Contact Number