Parental chronic medical or health problem (yes/no)
Parental chronic mental health problems (yes/no)
Difficulties involving the pregnancy of the child (yes/no)
Difficulties involving the delivery of the child (yes/no)
Prematurity of the child (yes/no)
Child kept in a special or intensive care nursery at birth (yes/no)
Child has chronic medical problems (parent-reported) (yes/no)
Child takes any medications long-term/chronically (yes/no)
Child takes any medications short-term/occasionally (yes/no)
Child has experienced any life-threatening illnesses (parent-reported) (yes/no)
Child sleeps with his/her parents (yes/no)
Child has sleep difficulties (parent-reported) (yes/no)
Child has behavioral or mental health difficulties (yes/no)
Child has developmental difficulties (yes/no)
Number of parent-reported visits to the private doctor’s office in the past year
□ 0	□1–2	□ 2–3	□ 3–4	□ 4–5	□ 5–6	□ 6–7	□ 7–8	□ 8+
Number of parent-reported calls to the doctor’s office in the past year
□ 0	□1–2	□ 2–3	□ 3–4	□ 4–5	□ 5–6	□ 6–7	□ 7–8	□ 8+
Number of parent-reported visits to emergency rooms/urgent care in the past year
□ 0	□1–2	□ 2–3	□ 3–4	□ 4–5	□ 5–6	□ 6–7	□ 7–8	□ 8+
Number admissions to the hospital overnight (parent-reported)
□ 0	□1–2	□ 2–3	□ 3–4	□ 4–5	□ 5+
Number of admissions to the intensive care unit (parent-reported)
□ 0	□ 1–2	□ 2+
Number of school days missed in the last year
□ 0	□ 1–5	□ 5–10	□ 10–15	□ 15–20	□ 20+
Parental satisfaction with primary doctor’s office or clinic (1- to 10-point scale)
Parental satisfaction with ED or urgent care visits (1- to 10-point scale)