Table 3.
Infant questionnaire for research.
| 1. | Age of baby | Days | |
| 2. | Sex | ||
| 3. | Gestational age at birth | Weeks | |
| 4. | Birth weight | Grams | |
| 5. | How many family members does your baby have?57,58 | ||
| 6. | Does your baby have any brothers or sisters?58,59 | Yes | No |
| 7. | Does your baby attend a kindergarten or a nursery school?60,61 | Yes | No |
| 8. | Is your baby shy or afraid of unfamiliar adults?62 | Yes | No |
| 9. | When you walk away, does your baby follow you?49–51 | Yes | No |
| 10. | When you leave your baby alone, does she or he cry?49–51 | Yes | No |
| 11. | When was your baby’s last vaccination?9,31 | ||
| 12. | How often does your baby visit a doctor?1,3,31 | Months | |
| 13. | Does your baby’s doctor usually wear a white coat?63 | Yes | No |
| 14. | Has your baby ever cried while being examined by a doctor?30 | Yes | No |
| 15. | Do you still breastfeed your baby?64 | Yes | No |