1) Did you breastfeed your child?
yes, exlusively
yes, with formula supplements
no
no answer
2) If you breastfed, how long did you breastfeed your child?
< 2 months
3 months
4 months
5 months
6 months
9 months
12 months
18 months
2 years or more
3) If you gave formula, what kind of formula did you use?
Regular (like Enfamil and Similac)
DHA/AA supplemented (like Enfamil LIPIL)
Soy (like Prosobee or Isomil)
Elemental (like Nutramigen)
Lactose Free
Added Rice (Enfamil AR)
Low Iron
Other
4) How much milk does your child drink?
over 24 ounces
16-24 ounces
8-15 ounces
5-7 ounces
1-4 ounces
none
none, he is still breastfeeding
none, he is still on formula
5) What kind of milk does your child drink?
breastmilk
whole cow's milk
low fat cow's milk
goat's milk
soy milk
rice milk
acidophilus milk
formula
other
none
6) How much juice does your child drink each day?
none
0-3 ounces
4-6 ounces
7-16 ounces
17-24 ounces
over 24 ounces
7) How much fruit does your child eat each day?
none
one serving
two servings
three servings
four servings
five servings
more than five servings
8) How many vegetables does your child eat each day?
none
one serving
two servings
three servings
four servings
five servings
more than five servings
9) Do you think your child has a well balanced diet?
yes, every day
yes, sometimes
no
no answer
10) Do you give your child vitamins?
yes, every day
yes, sometimes
no
no answer
11) Do your kids eat breakfast?
yes, every day
yes, sometimes
no
no answer
12) When do you plan on changing to low fat milk?
12 months
18 months
2 years
2 1/2 years
3 years
3 1/2 years
after 4 years
I'm not
13) Do you think your kids have food allergies?
yes
no
no answer
14) Does your child eat meat?
yes, often
yes, sometimes
no, she is a vegetarian
no, she is a vegan
no, she doesn't like meat
no, but for other reasons
15) Is your child overweight?
yes
no
no answer
16) Does your family eat dinner together?
yes, every day
yes, sometimes
no
no answer
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