Women with children six and under

This survey should be completed by women who have child(ren) six years old or younger. Please answer the questions carefully and truthfully to the best of your recollection. Answer only the questions that apply to you. For example, if you have two children, then answer only the questions that refer to child one and child two. The survey is anonymous.



  1. How many children do you have?
    1
    2
    3
    4
    +


  1. How old is child 1?


  1. What is the gender of child 1?
    Male
    Female


  1. How old is child 2?


  1. What is the gender of child 2?
    Male
    Female


  1. How old is child 3?


  1. What is the gender of child 3?
    Male
    Female


  1. How old is child 4?


  1. What is the gender of child 4?
    Male
    Female


  1. What type of foods does child 1 seem to prefer the most?
    spicy foods
    sweet foods
    sour foods
    salty foods
    bland foods
    starchy foods


  1. What type of foods does child 2 seem to prefer the most?
    spicy foods
    sweet foods
    sour foods
    salty foods
    bland foods
    starchy foods


  1. What type of foods does child 3 seem to prefer the most?
    spicy foods
    sweet foods
    sour foods
    salty foods
    bland foods
    starchy foods


  1. What type of foods does child 4 seem to prefer the most?
    spicy foods
    sweet foods
    sour foods
    salty foods
    bland foods
    starchy foods


  1. What specific food(s) does child 1 enjoy eating the most?


  1. What specific food(s) does child 2 enjoy eating the most?


  1. What specific food(s) does child 3 enjoy eating the most?


  1. What specific food(s) does child 4 enjoy eating the most?


  1. What is your age range?
    20 - 30 years old
    30 - 40 years old
    40 - 50 years old


  1. What types of foods did you eat the most while you were pregnant with child 1?
    spicy foods
    sweet foods
    sour foods
    salty foods
    bland foods
    starchy foods


  1. What types of foods did you eat the most while you were pregnant with child 2?
    spicy foods
    sweet foods
    sour foods
    salty foods
    bland foods
    starchy foods


  1. What types of foods did you eat the most while you were pregnant with child 3?
    spicy foods
    sweet foods
    sour foods
    salty foods
    bland foods
    starchy foods


  1. What types of foods did you eat the most while you were pregnant with child 4?
    spicy foods
    sweet foods
    sour foods
    salty foods
    bland foods
    starchy foods


  1. What specific food(s) did you eat the most while you were pregnant with child 1?


  1. What specific food(s) did you eat the most while you were pregnant with child 2?


  1. What specific food(s) did you eat the most while you were pregnant with child 3?


  1. What specific food(s) did you eat the most while you were pregnant with child 4?


  1. Were there any specific cravings that you had while you were pregnant with child 1?


  1. Were there any specific cravings that you had while you were pregnant with child 2?


  1. Were there any specific cravings that you had while you were pregnant with child 3?


  1. Were there any specific cravings that you had while you were pregnant with child 4?





Jacki Naughton