Bringing Out the Best in Your Baby

1. Could you please tell us how old your baby is today?
Expecting
Less than 3 months of age
Between 3 and 6 months
7 and 12 months
Over 1 year

2. Is your baby a boy or a girl?
Boy
Girl

3. How old are you today?
Over 41 years
Between 31 and 40 years
Between 20 and 30 years
Between 14 and 19 years

4. Are you a male or a female?
Male
Female

5a. What is your relationship to the baby?
Mother
Father
Stepmother
Stepfather
Legal guardian
Grandmother
Grandfather
Relative / Other
If you answered "Grandmother", "Grandfather" or "Relative / Other", please go directly to question 6

5b. Is this your first child?
Yes
No - please specify the number of children in your family:

6. What is your marital status?
Single
Married
Separated
Divorced
Defacto
Widowed

7. What is the highest level of education you have completed?
Never attended school
Completed primary school
Some high school
Completed School Certificate (year 10)
Completed HSC
TAFE Certificate or Diploma
University degree or higher

8. Please specify your postcode:

9. How did you find out about our resource?
Babies Expo
Kids Health
Received the resource as a gift
From a friend
From the Early Childhood Centre
Other - please specify:

10. In which of the following formats have you obtained a copy of our resource?
Bound colour copy
Photocopy
Printed version from our website

11. Were you aware of the recent brain research prior to purchasing a copy of our resource?
Yes - please specify the source of information:
No

12. Do you find our resource useful?
Yes
No - please tell us why:

13. Do you like the way in which the information is presented (table form)?
Yes
No - please provide us with your suggestions:

14a. How easy was the information in the resource to understand?
Very easy
Somewhat easy
Not easy
Difficult
If you answered "Very easy" or "Somewhat easy", please go directly to question 15

14b. If you did not find the resource easy to understand, please tell us why:

15. Do you like the colours used?
Yes
No - please tell us why:

16. Do you like the pictures used?
Yes
No - please tell us why:

17. Who in your home is utilising the resource?
Yourself
You and others - please tell us who:
Not you, but others - please tell us who:

18. For how long has the resource been used in your home?
Less than one week
About one month
Between 1 and 3 months
Between 4 and 7 months

19. How often is the resource referred to?
More than once a day
Once a day
Once every few days
Once a week
Once a fortnight
Once a month
Less often than once a month - please specify:

20. Do you think the resource has helped to change the number and type of interactions that you have with your baby compared to if you had never seen the resource?
Yes, definately
Yes, somewhat - please specify:
No - please tell us why:
I don't know

21. Has the resource motivated you to search for further information on early childhood development?
Yes
No

22. Are there any other topics you would like to see included in the resource?
Yes - please specify the topics you would like us to cover:
No

23. Would you be interested in seeing the resource extended to cover ages 1 to 5 years?
Yes
No

24a. When did you receive the resource?
When expecting
When baby was less than 3 months of age
When baby was between 3 and 6 months
When baby was between 7 and 12 months
When child was over 1 year

24b. When and how would you have liked to receive the resource?
When expecting; through the GP
When expecting; through the midwife/clinic
When expecting; through obstetrician
When baby was born; at the hospital
When baby was born; through the Early Childhood Centre
Other - please specify:

25. How do you think the information may be best displayed in your home?
In the current format as a calendar that may be hung
As sheets of information that may be held by a magnet or kept in a folder
As a poster that may be displayed on the wall
Other - please describe:

Thank you for your feedback!