About

you and your baby

1st Session.
Age: Under 1.

A little bit about you:

1. How many children do you have?
2. How old are you?

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 ?

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

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?

(Lbs and oz) or

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

Breast-fed

Expressed breast milk

Formula milk

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

Breast-feeding

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?
d) If you breastfed your baby at birth but have now stopped. How old was your baby in
weeks when you stopped breastfeeding?
11. IN THE PAST WEEK: Has your baby been eating any solid food? Y * N *


If No: Thank you and please stop here and complete your Contact Details on Page 6.
If Yes: Please complete questions 12-16 on Pages 3 and 4.












2

A bit about weaning: (Only complete 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 .
(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 feed him/herself unaided? Please tick one option.
*
Always

*
Often

*
Sometimes

*
Rarely

*
Never

Every piece of food

Most of the time

About half the time

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

An adult always fed

baby by putting the
food into babys
mouth with a
spoon.

Most of the time

an adult fed baby
with a spoon. Baby
occasionally fed
self e.g. a rusk or
toast.

yoghurt.

b) Did your baby eat pureed or mashed food (rather than finger foods)? Please tick one
option.
*
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, chunks 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 eat 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 days feeding:

a) How many milk feeds does your baby have in 24 hours?

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

c) How much of your babys food intake comes from milk or solids? Please tick one option.
*
All from milk.
No solids.

*
Mostly from
milk. Small
amounts of
solids.

*
About half
from milk/half
from solids.

*
Not much
from milk.
Mostly from
solids

*
All from
solids. No
milk.

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. slice of brown toast with butter. of a banana.

Lunchtime: 7oz formula milk (SMA), jar of Heinz Sweet potatoes. (include brand name if possible)

Evening meal: Home-made spaghetti Bolognese. 4 tablespoons.

Thank you for your time. There are no more questions - Please complete your Contact Details on
Page 6.

FOR COMPLETION BY RESEARCHER

CODE NAME

Boy * or Girl*

Date:

Weight (g)



Length (cm)

Head Circumference (cm)

Session number:

Contact Details
CODE NAME

Parents name:

Babys Name:

Babys Date of Birth:

Home Address
(for home visit) :

Baby Group Address:

(for group visit)

Post Code:
OR

Contact Number:

Email (optional):