Bringing Out the Best in Your Baby

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

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

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

4. 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

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

6. Please specify your postcode:

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

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

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

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

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

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

13. Who in your home do you think will be utilising the resource?
Yourself
You and others - please tell us who:
Not you, but others - please tell us who:

14. How often do you think the resource will be 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:

15. Do you think the resource will help change the number and type of interactions that you will 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

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

17. 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

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

19. 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:

20. If you would like to go in the draw to win one of 10 'Music for Dreaming' CDs, please provide us with an email address or phone number:

Email address:
Phone number:

Good luck and thank you for your feedback. For further information please contact Kids Health on 9845 3585.