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Surveys
2015
August
H
Health
Health
0%
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How long has your baby been breastfed?
Never
Less than 3 months
Less than 6 months
Less than 9 months
Less than 12 months
1 year
2 years
3 years
4 years
5+ years
How old is your baby?
Under 6 months
6-12 months old
1 year old
2 years old
3 years old
4 years old
5+ years old
How often does your baby get sick?
More than most babies
The same as most babies
Less than most babies
Has your baby been diagnosed with any of the following:
Asthma
Childhood Leukemia
Childhood Obesity
Ear Infections
Eczema
Diarrhea and vomiting
Lower respiratory infections
Necrotizing enterocolitis
Sudden Infant Death Syndrome (SIDS)
Type 2 diabetes
If your child was diagnosed with any of the above conditions, please tell us the age of the child at diagnosis.
Have you been diagnosed with any of the following:
Type 2 Diabetes
Breast cancer
Ovarian cancer
If you have been diagnosed with any of the previous conditions, please tell us if the diagnosis came before or after the birth of your baby.
If you are employed outside the home, how many days have you had to take off to care for your sick baby?
none
1-2
3-5
5-10
10+
Have you had to bring your baby to the emergency room or have they been hospitalized?
No
Yes
If you answered YES to the last question, please tell us when and why your child was in the emergency room or hospital.
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