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pdfConsumer Product Safety Commission
Durable Nursery Products Exposure Survey
Screener for Pretest Respondents
Hello, my name is ____________ and I work for Westat, a local research firm. We're
doing research for the Consumer Product Safety Commission about the use of infant
and toddler products, such as cribs, high chairs, strollers, and bath seats. If you are
eligible and you agree to participate, we will give you $40 to complete an in-person
interview that should last about an hour. In order to find out if you are eligible to be
interviewed, I need to ask you a few questions.
1. May I go ahead?
YES
NO TERMINATE
2. Are you at least 18 years of age?
YES
NO INELIGIBLE
3. How many interviews or focus groups have you participated in at Westat or
other survey research companies?
MORE THAN ONE INELIGIBLE
ONE
ZERO go to question 5
4. When was that?
IN THE PAST 6 MONTHS INELIGIBLE
MORE THAN 6 MONTHS AGO
5. Are there any children age 5 or under living in your household?
YES
NO INELIGIBLE
6. What are the ages of the children living in your household?
CPSC DNPES
1
7. I am going to read a list of infant and toddler products. We’re interested in the
products that you have used regularly. For each product I read, please tell me if
you use it regularly now, have used it regularly in the past, or have never used it
regularly.
Bassinet or Cradle
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
Bedside Sleeper
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
Crib
IF NEEDED,
[DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
Crib Bumpers
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
CPSC DNPES
2
Sleep Positioner
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
Toddler Bed
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED ASK FOLLOWUP
Do you currently have a toddler bed?
O YES
O NO INELIGIBLE
Do you ever use it (or have you ever used it)?
O YES INELIGIBLE
O NO ASK FOLLOWUP
Do you plan to use it in the future?
O YES ELIGIBLE AS FUTURE USER
O NO INELIGIBLE
Bed Rails
IF NEEDED,
[DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
CPSC DNPES
3
High Chair
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED ASK FOLLOWUP
Do you currently have a high chair?
O YES
O NO INELIGIBLE
Do you ever use it (or have you ever used it)?
O YES INELIGIBLE
O NO ASK FOLLOWUP
Do you plan to use it in the future?
O YES ELIGIBLE AS FUTURE USER
O NO INELIGIBLE
Hook-on Chair
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
CPSC DNPES
4
Booster Chair
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED ASK FOLLOWUP
Do you currently have a booster chair?
O YES
O NO INELIGIBLE
Do you ever use it (or have you ever used it)?
O YES INELIGIBLE
O NO ASK FOLLOWUP
Do you plan to use it in the future?
O YES ELIGIBLE AS FUTURE USER
O NO INELIGIBLE
Infant Bath Tub or Bathing Aid
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
CPSC DNPES
5
Bath Seat
IF NEEDED,
[DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED ASK FOLLOWUP
Do you currently have a bath seat?
O YES
O NO INELIGIBLE
Do you ever use it (or have you ever used it)?
O YES INELIGIBLE
O NO ASK FOLLOWUP
Do you plan to use it in the future?
O YES INELIGIBLE
O NO ELIGIBLE AS NEVER USER
Changing Table
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
Stationary Activity Center
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
CPSC DNPES
6
Swing
IF NEEDED,
[DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
Bouncer
IF NEEDED,
[DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
Walker
IF NEEDED,
[DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED ASK FOLLOWUP
Do you currently have a walker?
O YES
O NO INELIGIBLE
Do you ever use it (or have you ever used it)?
O YES INELIGIBLE
O NO ASK FOLLOWUP
Do you plan to use it in the future?
O YES ELIGIBLE AS FUTURE USER
O NO INELIGIBLE
CPSC DNPES
7
Play Yard
IF NEEDED,
[DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
Safety Gate
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED ASK FOLLOWUP
Do you currently have a safety gate?
O YES
O NO INELIGIBLE
Do you ever use it (or have you ever used it)?
O YES INELIGIBLE
O NO ASK FOLLOWUP
Do you plan to use it in the future?
O YES INELIGIBLE
O NO ELIGIBLE AS NEVER USER
Stroller
IF NEEDED,
[DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
CPSC DNPES
8
Hand Held Carrier
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED INELIGIBLE
Sling
IF NEEDED,
[DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED ASK FOLLOWUP
Do you currently have a sling?
O YES
O NO INELIGIBLE
Do you ever use it (or have you ever used it)?
O YES INELIGIBLE
O NO ASK FOLLOWUP
Do you plan to use it in the future?
O YES INELIGIBLE
O NO ELIGIBLE AS NEVER USER
CPSC DNPES
9
Front Soft Carrier
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED ASK FOLLOWUP
Do you currently have a front soft carrier?
O YES
O NO INELIGIBLE
Do you ever use it (or have you ever used it)?
O YES INELIGIBLE
O NO ASK FOLLOWUP
Do you plan to use it in the future?
O YES INELIGIBLE
O NO ELIGIBLE AS NEVER USER
Backpack Carrier with Rigid Frame
IF NEEDED, [DEFINITION]
REGULARLY USE NOW ELIGIBLE AS CURRENT USER
REGULARLY USED IN THE PAST ELIGIBLE AS PAST USER
NEVER REGULARLY USED ASK FOLLOWUP
Do you currently have a backpack carrier with a rigid frame?
O YES
O NO INELIGIBLE
Do you ever use it (or have you ever used it)?
O YES INELIGIBLE
O NO ASK FOLLOWUP
Do you plan to use it in the future?
O YES INELIGIBLE
O NO ELIGIBLE AS NEVER USER
CPSC DNPES
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8. IF NOT OBVIOUS, What is your gender?
MALE
FEMALE
9. What is your race or ethnicity?
LATINO/HISPANIC
BLACK/AFRICAN AMERICAN
WHITE
AMERICAN INDIAN OR PACIFIC ISLANDER
ASIAN
OTHER __________________________________
10. What is the highest level of education that you have completed?
LESS THAN A HIGH SCHOOL DIPLOMA
HIGH SCHOOL GRADUATE OR GED
SOME COLLEGE, ASSOCIATES DEGREE
COLLEGE GRADUATE
ADVANCED DEGREE
if ineligible
Thank you very much for your interest, but you are not eligible for this study, or we have
already filled the slots you’re eligible for. Thank you very much for your time. We will
destroy the information you have provided.
IF ELIGIBLE & WAITLIST
Thank you for answering all my questions. We may contact you soon to participate in
an in-person interview. Can I have your name and phone number so that we can get in
touch with you?
Name: ________________________________________
Phone: ________________________________________
CPSC DNPES
11
IF ELIGIBLE & SCHEDULING
Thank you for answering all my questions. I’d like to invite you to participate in an inperson interview that will take about an hour to complete. We’ll pay you $75 for your
time with us. Let me give you some available times and you tell me what would be best
for you.
INTERVIEW DATE AND TIME:
The interview will be held at the Westat facility in Rockville. I would like to send you
directions. Where can I send them? Also, may I please have your phone number in
case we need to get hold of you for any reason?
COLLECT RESPONDENT NAME, ADDRESS (IF APPLICABLE) AND PHONE
Name: _____________________________________________________________
Address: _____________________________________________________________
City: _________________________________ State: ______ Zip Code: __________
Phone: ________________________________________
In case you need to contact me for any reason, you can reach me at 1-800-937-8281,
extension 5897.
CPSC DNPES
12
Preliminary Questions (P)
Introductory/Consent language (TO BE ADDED LATER)
1. Including yourself, please tell me the age and sex of everyone currently living in
this household. For children under 6, please give me the month and year of
birth. Please do not include students living away at school.
[IF NEEDED: Include adults who think of this household as their primary place of
residence. Include adults who usually stay in the household but are temporarily
away on business, vacation, or in a hospital.]
2. [IF THERE ARE ANY HH MEMBERS AGE 5 AND UNDER] For this survey we will be
talking about products used with children age 5 and under.
[ASK FOR EACH CHILD AGE 5 AND UNDER] May I please have the first name, initial
or nickname of [FILL IN AGE OF EACH CHILD IN TURN]?
GET NAMES/INITIALS, SOME SHORT-HAND TO REFER TO CHILDREN BY
Example for Interviewer: If a 3-year-old boy and a 2-year old girl are enumerated in
PQ1, ask the following after the intro sentence in PQ2: May I please have the name
of the 3-year-old boy? May I please have the name of the 2-year-old girl?
3. Does your home have stairs?
YES
NO
IF PQ3=YES, ASK PQ4
OTHERWISE, GO TO INVENTORY QUESTIONS FOR EACH MODULE
4. Do you use safety gates on your stairs?
YES
NO
PQ5-PQ8 SHOULD BE ASKED AFTER ALL THE INVENTORY QUESTIONS HAVE BEEN
ASKED
LIST OF RESPONSES FOR PQ5, PQ7, AND PQ9 WILL BE SELECTED BASED ON WHICH
OF THE PRODUCTS LISTED THE RESPONDENT INDICATES THEY OWN AND
CURRENTLY USE FROM THE MODULE INVENTORY QUESTIONS
5. During the day, do you put {your child/any of your children} down to sleep in…
A crib?
A toddler bed?
A play yard?
A hand-held carrier?
A stroller?
An infant swing?
A bassinet?
A cradle?
An infant hammock?
A bouncer?
A bedside sleeper?
A car seat?
Something else? [RECORD RESPONSE]
IF MORE THAN ONE RESPONSE TO PQ5, ASK PQ6 FOR EACH CHILD LISTED IN PQ2
6. Which of these does {CHILD} sleep in most often during the day?
[DISPLAY BUT DO NOT READ CHOICES SELECTED IN PQ5. RECORD RESPONSE]
7. At night, do you put {your child/any of your children} down to sleep in…
A toddler bed?
A play yard?
A hand-held carrier?
A stroller?
An infant swing?
A bassinet?
A cradle?
An infant hammock?
A bouncer?
A bedside sleeper?
A car seat?
Something else? [RECORD RESPONSE]
IF MORE THAN ONE RESPONSE TO PQ7, ASK PQ8 FOR EACH CHILD LISTED IN PQ2
8. Which of these does {child} sleep in most often at night?
[DISPLAY BUT DO NOT READ CHOICES SELECTED IN PQ7. RECORD RESPONSE]
The next questions are about bathing your {child/ children}. First I’m going to ask where
you give the baths, then I’ll ask whether you use things like a bath seat.
FOR EACH CHILD ASK:
9. Do you bathe {CHILD} in an adult bath tub, a sink, or somewhere else? You
may select more than one.
ADULT BATH TUB
SINK
SOMEWHERE ELSE [RECORD RESPONSE]
IF MORE THAN ONE RESPONSE TO PQ9, ASK PQ10
10. Where do you bathe {CHILD} most often?
[DISPLAY BUT DO NOT READ CHOICES SELECTED IN PQ9. RECORD RESPONSE]
11. When you bathe {CHILD} in the {FILL WITH ANSWER AT PQ10}, do you use
an infant bath tub, a baby bath seat, a baby bathing aid, something else or
nothing else? You may select more than one.
INFANT BATH TUB
BABY BATH SEAT
BABY BATHING AID
SOMETHING ELSE [RECORD RESPONSE]
NOTHING ELSE
IF MORE THAN ONE RESPONSE TO PQ11, ASK PQ12
12. Which do you use most often when you bathe {CHILD}?
[DISPLAY BUT DO NOT READ CHOICES SELECTED IN PQ11. RECORD RESPONSE]
Walkers (W)
Walker Inventory Questions
IF NEEDED: Infant walkers are products that allow children to sit, recline, bounce, jump, and use
their feet to move around. They usually consist of fabric seats attached to rigid trays and have
bases with wheels or casters to make them mobile.
1. How many infant walkers do you currently have in your home?
NONE GO TO WQ5
1
2
3
OTHER [RECORD RESPONSE]
IN WQ2, USE “THINKING ABOUT THE WALKER YOU USE MOST OFTEN” AND “IT” IF WQ1 IS 2
OR MORE. OTHERWISE USE “HOW” AND “THE WALKER.”
2. {Thinking about the infant walker you use most often, how/How} often do you use {it/the
infant walker}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF WQ1 = MORE THAN ONE, USE PLURAL IN WQ3 & WQ4
3. Have you used the infant walker{s} in the past?
YES GO TO WQ6
NO
4. Do you intend to use the infant walker{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had an infant walker at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
1
Please think about the walker you used most often.
IF WQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR WQ6.
6. How often did you use the walker? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Walker Module (W)
These next questions are about walkers.
IF WQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one walker, think
about the one you used most often.
IF NEEDED: Infant walkers are products that allow children to sit, recline, bounce, jump, and use
their feet to move around. They usually consist of fabric seats attached to rigid trays and have
bases with wheels or casters to make them mobile.
IF WQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF WQ4= YES, USE PRESENT TENSE
IF WQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the walker? You can tell me all or part of the product name
or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. {Does/did} the walker have a brake?
YES
NO
DON’T KNOW
9. Did you…
Purchase the walker,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
10. When you got the walker, was it new or secondhand?
NEW
SECOND-HAND
11. When did you get it?
[RECORD RESPONSE]
IF WQ10=NEW, GO TO INSTRUCTIONS BEFORE WQ13
IF WQ10=SECOND-HAND, ASK WQ12
12. How old was the walker when you got it?
[RECORD RESPONSE]
3
IF MORE THAN ONE CHILD IN HH AND WQ2= EVERY DAY OR A FEW TIMES A WEEK, ASK
WQ13 THEN GO TO INSTRUCTIONS BEFORE WQ15;
IF MORE THAN ONE CHILD IN HH AND WQ6= EVERY DAY OR A FEW TIMES A WEEK, ASK
WQ14 THEN GO TO INSTRUCTIONS BEFORE WQ15;
OTHERWISE GO TO INSTRUCTIONS BEFORE WQ15
13. Which child uses the walker most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
14. Which child used the walker most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF WQ4=YES, USE “WILL” IN WQ15
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
15. When {will/did} you start using the walker {with {CHILD}}? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to start using the walker.
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF WQ4=YES, GO TO NEXT PRODUCT
IF PQ3=YES, ASK WQ16
IF PQ3=NO, GO TO WQ17
16. {Does/did} {CHILD} use the walker around stairs?
YES
NO
IF WQ8=YES, ASK WQ17
IF WQ8=NO, GO TO WQ18
17. How often {do/did} you use the brake? Would you say…
All of the time,
Most of the time,
Some of the time,
Rarely, or
Never?
18. Why {do/did} you use the walker? You can select more than one reason. {Is/Was} it…
To entertain your child,
To help your child learn to walk,
To help your child get exercise,
4
To keep your child occupied, or
For some other reason? [RECORD RESPONSE]
19. How long {do/did} you usually leave {CHILD} in the walker at one time? Would you
say…
Less than 30 minutes,
30 Minutes to 1 hour,
More than 1 hour, but less than 2 hours,
2 to 3 hours, or
More than 3 hours?
IF PQ3=YES, PQ4=NO, AND WQ16=YES, PREFACE WQ20 WITH “WHILE DOWNSTAIRS”
20. {While downstairs} {What/what} {is/was} the longest you {feel/felt} comfortable leaving
{CHILD} in the walker while you went to another room for something? Would you say…
Less than five minutes,
5 to15 minutes,
More than 15 minutes, or
Not at all?
IF PQ3=NO, GO TO WQ24
IF PQ3=YES AND PQ4=YES, GO TO WQ24
IF PQ3=YES, PQ4=NO, AND WQ16=NO, GO TO WQ24
21. While upstairs, what {is/was} the longest you {feel/felt} comfortable leaving {CHILD} in
the walker while you went to another room for something? Would you say…
Less than five minutes,
5 to15 minutes,
More than 15 minutes, or
Not at all?
IF WQ8=NO, GO TO WQ24
IF WQ17=NEVER, GO TO WQ24
22. While upstairs, what {is/was} the longest you {feel/felt} comfortable leaving {CHILD} in
the walker with the parking brake engaged while you went to another room for
something? Would you say…
Less than five minutes,
5 to15 minutes,
More than 15 minutes, or
Not at all?
23. While upstairs, what {is/was} the longest you {feel/felt} comfortable leaving {CHILD} in
the walker without the parking brake engaged while you went to another room for
something? Would you say…
Less than five minutes,
5 to15 minutes,
5
More than 15 minutes, or
Not at all?
24. Did the walker ever break?
YES
NO GO TO WQ29
25. Did you,
Fix it yourself,
Have someone else fix it,
Return the walker, or
Throw away or recycle the walker?
OTHER [RECORD RESPONSE]
IF WQ25 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK WQ26
IF WQ25 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
WQ26
OTHERWISE GO TO WQ27
26. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
27. Did you report the problem to someone?
YES
NO GO TO WQ29
28. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
OTHER
29. Did {CHILD} ever get hurt while {he/she} was in the walker?
YES
NO GO TO INSTRUCTIONS BEFORE WQ33
30. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
6
31. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE WQ33
32. Did you take {him/her} to a hospital emergency room?
YES
NO
IF WQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF WQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
33. When {will you/did you} stop using the walker with {CHILD}? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to stop using the walker.
0 to 12 months old,
13 to 18 months old,
19 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
34. What {will you/did you} do with the walker when you {stop/stopped} using it? {Did/will}
you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
35. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
7
Toddler Beds (T)
Inventory Questions
IF NEEDED: A toddler bed is a children’s bed that uses a crib mattress. It may or may not have
guard rails.
1. How many toddler beds do you currently have in your home?
NONE GO TO TQ5
1
2
3
OTHER [RECORD RESPONSE]
IN TQ2, USE “THINKING ABOUT THE TODDLER BED YOU USE MOST OFTEN” AND “IT” IF
TQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE TODDLER BED.”
2. {Thinking about the toddler bed used most often, how/How} often do your
{child/children} use {it/the toddler bed}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF TQ1 = MORE THAN ONE, USE PLURAL IN TQ3 & TQ4
3.
Have you used the toddler bed{s} in the past?
YES GO TO TQ 6
NO
4. Do you intend to use the toddler {bed/beds} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a toddler bed at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
1
Please think about the toddler bed you used most often.
IF TQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR TQ6.
6. How often did you use the toddler bed? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
2
Toddler Bed Module (T)
These next questions are about toddler beds. If you have a crib that converts to a toddler bed,
please answer only for the time you used it as a toddler bed.
IF TQ1 IS 2 OR MORE: Please think about the one you used most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one toddler bed,
think about the one you used most often.
IF NEEDED: A toddler bed is a children’s bed that uses a crib mattress. It may or may not have
guard rails.
IF TQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF TQ4= YES, USE PRESENT TENSE
IF TQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the toddler bed? You can tell me all or part of the product
name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. Did you…
Purchase the toddler bed,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
9. When you got the toddler bed, was it new or secondhand?
NEW
SECOND-HAND
10. When did you get it?
[RECORD RESPONSE]
IF TQ9=NEW, GO TO INSTRUCTIONS BEFORE TQ12
IF TQ9=SECOND-HAND, ASK TQ11
11. How old was the toddler bed when you got it?
[RECORD RESPONSE]
IF TQ4=YES, GO TO NEXT PRODUCT
3
12. Did {your child/any of your children} ever get hurt while in the toddler bed?
YES
NO GO TO INSTRUCTIONS BEFORE TQ17
IF ONLY ONE CHILD IN HOUSEHOLD GO TO TQ14
13. Which child got hurt?
RECORD RESPONSE AND USE AS FILL IN TQ14-17
14. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
15. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE TQ 17
16. Did you take {him/her} to a hospital emergency room?
YES
NO
IF TQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF TQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
17. What {will you/did you} do with the toddler bed when you {stop/stopped} using it?
{Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
18. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
4
Strollers (ST)
Stroller Inventory Questions
IF NEEDED: A stroller is a wheeled vehicle for the transport of infants or children. The movement
is supplied by a person pushing on a handle attached to the stroller.
1. How many strollers do you currently have in your home?
NONE GO TO STQ5
1
2
3
OTHER [RECORD RESPONSE]
IN STQ2, USE “THINKING ABOUT THE STROLLER YOU USE MOST OFTEN” AND “IT” IF
STQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE STROLLER.”
2. {Thinking about the stroller you use most often, how/How} often do you use {it/the
stroller}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF STQ1 = MORE THAN ONE, USE PLURAL IN STQ3 & STQ4
3. Have you used the stroller{s} in the past?
YES GO TO STQ6
NO
4. Do you intend to use the stroller{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a stroller at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
1
Please think about the stroller you used most often.
IF STQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR STQ6.
6. How often did you use the stroller? Would you say …
Every day, GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Strollers Module (ST)
These next questions are about strollers. Please include carriages and jogging strollers in your
answers.
IF STQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one stroller, think
about the one you used most often.
IF NEEDED: A stroller is a wheeled vehicle for the transport of infants or children. The movement
is supplied by a person pushing on a handle attached to the stroller.
IF STQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF STQ4= YES, USE PRESENT TENSE
IF STQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the stroller? You can tell me all or part of the product name
or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. {Is/Was} it a …
Single stroller,
Double stroller, or
Triple stroller?
9. {Is/Was} it a jogging stroller?
YES
NO
10. Was a car seat purchased to go with it?
YES
NO GO TO STQ12
11. Were the car seat and the stroller made by the same company?
YES
NO
12. Does the stroller have a brake or lock?
YES
NO
DON’T KNOW
3
13. Did you…
Purchase the stroller,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
14. When you got the stroller, was it new or secondhand?
NEW
SECOND-HAND
15. When did you get it?
[RECORD RESPONSE]
IF STQ14=NEW, GO TO INSTRUCTIONS BEFORE STQ17
IF STQ14=SECOND-HAND, ASK STQ16
16. How old was the stroller when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND STQ2= EVERY DAY OR A FEW TIMES A WEEK;
ASK STQ17 THEN GO TO INSTRUCTIONS BEFORE STQ19
IF MORE THAN ONE CHILD IN HH AND STQ6= EVERY DAY OR A FEW TIMES A WEEK,
ASK STQ18 THEN GO TO INSTRUCTIONS BEFORE STQ19;
OTHERWISE GO TO INSTRUCTIONS BEFORE STQ19
17. Which child uses the stroller most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
18. Which child used the stroller most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF STQ4=YES, USE “WILL” IN STQ19
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
19. When {will/did} you start using the stroller {with {CHILD}}? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to start using the stroller.
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF STQ4=YES, GO TO NEXT PRODUCT
4
20. {Do/Did} you use the stroller…
Several times a day,
Once a day,
A few times a week,
Once a week or less, or
Not at all?
21. How often {does/did} {CHILD} sleep in the stroller? Would you say…
Several times a day,
Once a day,
A few times a week, or
Once a week or less?
22. When {CHILD} is awake, how long {is/was} {he/she} usually in the stroller? Would you
say…
Less than 30 minutes
30 Minutes to 1 hour, or
More than 1 hour?
23. How often {do/did} you strap {CHILD} in when using the stroller?
All of the time,
Most of the time,
Some of the time,
Or not at all?
IF STQ10=NO, GO TO STQ25
24. How often {do/did} you use the car seat that fits on your stroller in the car? Would you
say…
All of the time,
Most of the time,
Some of the time,
Or not at all?
IF STQ12=YES, PREFACE STQ26-STQ28 WITH “WITH THE BRAKE OR LOCK ENGAGED”
IF STQ2 = EVERY DAY OR A FEW TIMES A WEEK, ASK STQ25
OTHERWISE GO TO INSTRUCTIONS BEFORE STQ26
25. {With the brake or lock engaged, what /What} is the longest you feel comfortable
leaving {CHILD} in the stroller while out of your sight?
Less than 5 minutes,
5 to15 Minutes
More than 15 minutes, or
Not at all?
5
IF STQ6= EVERY DAY OR A FEW TIMES A WEEK, CHECK CHILD AGE.
IF 2 OR OLDER, RANDOMLY ASSIGN ONE OF STQ26, STQ27, OR STQ28.
IF 1-2, RANDOMLY ASSIGN ONE OF STQ26 OR STQ27.
IF 6 MONTHS TO 1 YEAR, ASK STQ26.
IF 6 MONTHS OR YOUNGER, SKIP TO STQ29.
26. {With the brake or lock engaged, what/What} was the longest you felt comfortable
leaving {CHILD} in the stroller while out of your sight when {he/she} was less than 6
months old? Would you say…
Less than 5 minutes,
5 to15 Minutes
More than 15 minutes, or
Not at all?
27. {With the brake or lock engaged, what/What} was the longest you felt comfortable
leaving {CHILD} in the stroller while out of your sight when {he/she} was between 6
months and 1 year old?
Less than 5 minutes,
5 to 15 Minutes
More than 15 minutes, or
Not at all?
28. {With the brake or lock engaged, what/What} was the longest you felt comfortable
leaving {CHILD} in the stroller while out of your sight when {he/she} was between 1 and
2 years old?
Less than 5 minutes,
5-15 Minutes
More than 15 minutes, or
Not at all?
29. Did the stroller ever break?
YES
NO GO TO STQ34
30. Did you,
Fix it yourself,
Have someone else fix it,
Return the stroller, or
Throw away or recycle the stroller?
OTHER [RECORD RESPONSE]
IF STQ30 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK STQ31
IF STQ30 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
STQ31
OTHERWISE GO TO STQ32
6
31. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
32. Did you report the problem to someone?
YES
NO GO TO STQ34
33. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
OTHER
34. Did {CHILD} ever get hurt while {he/she} was in the stroller?
YES
NO GO TO INSTRUCTIONS BEFORE STQ38
35. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
36. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE STQ38
37. Did you take {him/her} to a hospital emergency room?
YES
NO
IF STQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF STQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
38. When {will you/did you} stop using the stroller with {CHILD}? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to stop using the stroller.
0 to 12 months old,
13 to 24 months old,
25 months to 3 years old,
More than 3 years old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
7
39. What {will you/did you} do with the stroller when you {stop/stopped} using it? {Did/will}
you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
40. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
8
Stationary Activity Centers (S)
Inventory Questions
IF NEEDED: A stationary activity center is a stationary product that enables a sitting or standing
child to, rock, play, spin, bounce and/or walk within a limited range of motion while completely
surrounded by the product.
1. How many stationary activity centers do you currently have in your home?
NONE GO TO SQ5
1
2
3
OTHER [RECORD RESPONSE]
IN SQ2, USE “THINKING ABOUT THE STATIONARY ACTIVITY CENTER YOU USE MOST
OFTEN” AND “IT” IF SQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE
STATIONARY ACTIVITY CENTER.”
2. {Thinking about the stationary activity center you use most often, how/How} often do
you use {it/the stationary activity center}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF SQ1 = MORE THAN ONE, USE PLURAL IN SQ3 & SQ4
3.
Have you used the stationary activity center{s} in the past?
YES GO TO SQ6
NO
4. Do you intend to use the stationary activity center{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a stationary activity center at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Please think about the stationary activity center you used most often.
1
IF SQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR SQ6.
6. How often did you use the stationary activity center? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Stationary Activity Center Module (S)
These next questions are about stationary activity centers.
IF SQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one stationary
activity center, think about the one you used most often.
IF NEEDED: A stationary activity center is a stationary product that enables a sitting or standing
child to, rock, play, spin, bounce and/or walk within a limited range of motion while completely
surrounded by the product.
IF SQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF SQ4= YES, USE PRESENT TENSE
IF SQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the stationary activity center? You can tell me all or part of
the product name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. Did you…
Purchase the stationary activity center,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
9. When you got the stationary activity center, was it new or secondhand?
NEW
SECOND-HAND
10. When did you get it?
[RECORD RESPONSE]
IF SQ9=NEW, GO TO INSTRUCTIONS BEFORE SQ12
IF SQ9=SECOND-HAND, ASK SQ11
11. How old was the stationary activity center when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND SQ2= EVERY DAY OR A FEW TIMES A WEEK, ASK
SQ12 THEN GO TO INSTRUCTIONS BEFORE SQ14;
IF MORE THAN ONE CHILD IN HH AND SQ6= EVERY DAY OR A FEW TIMES A WEEK, ASK
SQ13 THEN GO TO INSTRUCTIONS BEFORE SQ14;
OTHERWISE GO TO SQ14
3
12. Which child uses the stationary activity center most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
13. Which child used the stationary activity center most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF SQ4=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
14. When {will/did} you start using the stationary activity center {with {CHILD}}? When
{CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to start using the stationary
activity center.
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF SQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
15. How long {is/was} {CHILD} usually in the stationary activity center at one time? Would
you say…
Less than 30 minutes,
30 minutes to 1 hour,
More than 1 hour, but less than 2 hours,
2 to 3 hours, or
More than 3 hours?
16. What {is/was} the longest you {feel/felt} comfortable leaving {CHILD} in the stationary
activity center while you {go/went} to another room for something? Would you say…
Up to 1 minute,
More than 1 minute, but less than 5 minutes,
5 to15 minutes,
More than 15 minutes, or
Not at all?
17. Did the stationary activity center ever break?
YES
NO GO TO SQ22
18. Did you,
Fix it yourself,
Have someone else fix it,
4
Return the stationary activity center, or
Throw away or recycle the stationary activity center?
OTHER [RECORD RESPONSE]
IF SQ18 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK SQ19
IF SQ18 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
SQ19
OTHERWISE GO TO SQ20
19. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
20. Did you report the problem to someone?
YES
NO GO TO SQ22
21. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
OTHER
22. Did {CHILD} ever get hurt while {he/she} was in the stationary activity center?
YES
NO GO TO INSTRUCTIONS BEFORE SQ26
23. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
24. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE SQ26
25. Did you take {him/her} to a hospital emergency room?
YES
NO
IF SQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF SQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
5
26. When {will you/did you} stop using the stationary activity center with {CHILD}? When
{CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to stop using the stationary
activity center.
0 to 12 months old,
13 to 24 months old,
25 months to 3 years old,
More than 3 years old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
27. What {will you/did you} do with the stationary activity center when you {stop/stopped}
using it? {Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
28. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
6
Slings (SL)
Sling Inventory Questions
IF NEEDED: A sling (also called a wrap) is a child carrier made from a length of fabric worn over
one shoulder and around the waist to form an over-the-shoulder hammock.
1. How many slings do you currently have in your home?
NONE GO TO SLQ 5
1
2
3
OTHER [RECORD RESPONSE]
IN SLQ2, USE “THINKING ABOUT THE SLING YOU USE MOST OFTEN” AND “IT” IF SLQ1
IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE SLING.”
2. {Thinking about the sling you use most often, how/How} often do you use {it/the sling}?
Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or ELIGIBLE; GO TO INSTRUCTIONS BEFORE SLQ7
Never?
IF SLQ1 = MORE THAN ONE, USE PLURAL IN SLQ3 & SLQ4
3. Have you used the sling{s} in the past?
YES GO TO SLQ6
NO
4. Do you intend to use the sling{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO ELIGIBLE; GO TO INSTRUCTIONS BEFORE SLQ7
5. Have you ever had a sling at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
1
Please think about the sling you used most often.
IF SLQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR SLQ6.
6. How often did you use the sling? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or ELIGIBLE; GO TO INSTRUCTIONS BEFORE SLQ7
Never? ELIGIBLE; GO TO INSTRUCTIONS BEFORE SLQ7
IF
IF
IF
IF
SLQ2=A FEW TIMES A YEAR, US E “HARDLY EVER US E” AND “IS ”
SLQ4=NO, US E “DON’T INTEND TO US E” AND “IS ”
SLQ6=A FEW TIMES A YEAR, US E “HARDLY EVER US ED” AND “WAS ”
SLQ6=NEVER, US E “NEVER US ED” AND “WAS ”
7. Please tell me why you {hardly ever use/ don’t intend to use/hardly ever used/never
used} the sling. You can select more than one reason. {Is/Was} it because …
It’s too difficult to use,
Your child didn’t like it,
You didn’t like it,
You didn’t think your child was safe, or
Some other reason? [RECORD RESPONSE]
2
Slings Module (SL)
These next questions are about slings.
IF SLQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one sling, think
about the one you used most often.
IF NEEDED: A sling (also called a wrap) is a child carrier made from a length of fabric worn over
one shoulder and around the waist to form an over-the-shoulder hammock.
IF SLQ2= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, USE PRESENT
TENSE
IF SLQ4= YES OR NO, USE PRESENT TENSE
IF SLQ6= EVERY DAY, A FEW TIMES A WEEK,, A FEW TIMES A YEAR, OR NEVER USE
PAST TENSE
8. What {is/was} the name of the sling? You can tell me all or part of the product name or
just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
9. Did you…
Purchase the sling,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
10. When you got the sling, was it new or secondhand?
NEW
SECOND-HAND
11. When did you get it?
[RECORD RESPONSE]
IF SLQ10=NEW, GO TO INSTRUCTIONS BEFORE SLQ13
IF SLQ10=SECOND-HAND, ASK SLQ12
12. How old was the sling when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND SLQ2= EVERY DAY, A FEW TIMES A WEEK, OR A
FEW TIMES A YEAR; ASK SLQ13 THEN GO TO INSTRUCTIONS BEFORE SLQ15
IF MORE THAN ONE CHILD IN HH AND SLQ6= EVERY DAY, A FEW TIMES A WEEK, OR A
FEW TIMES A YEAR, ASK SLQ14 THEN GO TO INSTRUCTIONS BEFORE SLQ15;
3
IF SLQ4=NO OR SLQ6=NEVER, GO TO INSTRUCTIONS BEFORE SLQ34
OTHERWISE GO TO INSTRUCTIONS BEFORE SLQ15
13. With which child do you use the sling most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
14. With which child did you use the sling most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF SLQ4=YES, USE “WILL” IN SLQ15
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
15. When {will/did} you start using the sling {with {CHILD}}? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to start using the sling.
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF SLQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
16. How did you learn to use the sling? You can select more than one. Did you learn
from…
The manufacturer’s instructions, GO TO SLQ18
Someone else showing you how,
Trial and error, or
Some other way? [RECORD RESPONSE]
17. Did you read or watch the instructions that came with the sling?
YES
NO
18. {Have/did} you {had/have} any difficulties adjusting the sling comfortably?
YES
NO
19. How often {do/did} you check {CHILD}’s face while in the sling? {Is/Was} it…
Every minute,
Every five minutes ,
Every ten minutes, or
Longer than every 10 minutes?
4
IF {CHILD} > 6 MONTHS OLD, PREFACE SLQ20 WITH “UP UNTIL {CHILD} WAS 6 MONTHS
OLD, IN” AND USE “WAS {HE/SHE}”
IF {CHILD} < 6 MONTHS OLD USE “IN” AND “HAS {CHILD} BEEN”
20. {Up until {CHILD} was 6 months old, in/In} which of the following ways {was {he/she}/
has {CHILD} been} in the sling? (Select more than one.)
Sitting up on your chest facing outward,
Sitting up on your chest facing inward,
Lying down with face visible, or
Lying down with face not visible?
21. What activities do you use the sling for? You can select more than one. Do you use it…
To do chores,
To go shopping,
To go for walks, or
For some other activity? [RECORD RESPONSE]
22. How long {do/did} you usually carry {CHILD} in the sling? Would you say…
Less than 15 minutes,
15 to 30 minutes, or
More than 30 minutes?
23. What {is/was} the longest you {carry/carried} {CHILD} in the sling? Would you say…
Less than 15 minutes,
15 to 30 minutes,
More than 30 minutes, but less than 1 hour, or
More than 1 hour?
24. Did the sling ever break?
YES
NO GO TO SLQ29
25. Did you,
Fix it yourself,
Have someone else fix it,
Return the sling, or
Throw away or recycle the sling?
OTHER [RECORD RESPONSE]
IF SLQ25 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK SLQ26
IF SLQ25 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
SLQ26
OTHERWISE GO TO SLQ27
26. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
5
NO
27. Did you report the problem to someone?
YES
NO GO TO SLQ
28. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
OTHER
29. Did {CHILD} ever get hurt while {he/she} was in the sling?
YES
NO GO TO INSTRUCTIONS BEFORE SLQ33
30. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
31. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE SLQ33
32. Did you take {him/her} to a hospital emergency room?
YES
NO
IF SLQ2= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, USE FUTURE
TENSE
IF SLQ6= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, USE PAST
TENSE
33. When {will you/did you} stop using the sling with {CHILD}? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to stop using the sling,
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
6
IF SLQ2= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, US E “WILL”
AND “WHEN YOU S TOP US ING IT”
IF SLQ4=NO, US E “WILL”
IF SLQ6= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, US E “DID”
AND “WHEN YOU S TOP P ED US ING IT”
IF SLQ6=NEVER, US E “DID”
34. What {will/did} you do with the sling {when you stop[ped] using it}? {Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
35. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
7
Sleep Positioners (SP)
Inventory Questions
IF NEEDED: A sleep positioner is a mat with bolsters on the side intended to keep an infant in
place for sleep. The mat may be inclined or flat.
1. How many sleep positioners do you currently have in your home?
NONE GO TO SPQ 5
1
2
3
OTHER [RECORD RESPONSE]
IN SPQ2, USE “THINKING ABOUT THE SLEEP POSITIONER YOU USE MOST OFTEN” AND
“IT” IF SPQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE SLEEP POSITIONER.”
2. {Thinking about the sleep positioner you use most often, how/How} often do you use
{it/the sleep positioner}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF SPQ1 = MORE THAN ONE, USE PLURAL IN SPQ3 & SPQ4
3. Have you used the sleep positioner{s} in the past?
YES GO TO INSTRUCTIONS BEFORE SPQ6
NO
4. Do you intend to use the sleep positioner{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a sleep positioner at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Please think about the sleep positioner you used most often.
IF SPQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR SPQ6.
1
6. How often did you use the sleep positioner? Would you say …
Every day, ELIGIBLE; GO TO INSTRUCTIONS BEFORE SPQ7
A few times a week, ELIGIBLE; GO TO INSTRUCTIONS BEFORE SPQ7
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Sleep Positioner Module (SP)
These next questions are about sleep postioners.
IF SPQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one sleep
positioner, think about the one you used most often.
IF SPQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF SPQ4=YES, USE PRESENT TENSE
IF SPQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the sleep positioner? You can tell me all or part of the
product name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. Is the sleep positioner flat?
YES
NO
9. Did you…
Purchase the sleep positioner,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
10. When you got the sleep positioner, was it new or secondhand?
NEW
SECOND-HAND
11. When did you get it?
[RECORD RESPONSE]
IF SPQ10=NEW, GO TO INSTRUCTIONS BEFORE SPQ13
IF SPQ10=SECOND-HAND, ASK SPQ12
12. How old was the sleep positioner when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND SPQ2= EVERY DAY OR A FEW TIMES A WEEK,
ASK SPQ13 THEN GO TO INSTRUCTIONS BEFORE SPQ15;
IF MORE THAN ONE CHILD 5 IN HH AND SPQ6= EVERY DAY OR A FEW TIMES A WEEK,
ASK SPQ14 THEN GO TO INSTRUCTIONS BEFORE SPQ15;
OTHERWISE GO TO INSTRUCTIONS BEFORE SPQ15
3
13. Which child uses the sleep positioner most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
14. Which child used the sleep positioner most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF SPQ4=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
15. When {will/did} you start using the sleep positioner {with {CHILD}}? When {CHILD}
{is/was} …
IF NEEDED: Or you can describe what made you decide to start using the sleep
positioner.
0 to 4 months old,
5 to 8 months old,
9 to12 months old,
More than 12 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF SPQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
16. Why {do/did} you use the sleep positioner? You can select more than one reason.
{Is/was} it…
To help your child’s acid reflux,
To help with your child’s flat head syndrome,
To keep your child on {his/her} back or keep {him/her} from rolling over,
Because a doctor recommended or required it, or
For some other reason? [RECORD RESPONSE]
GOT AS GIFT
OTHER
17. When you {use/used} the sleep positioner, {do/did} you usually place {CHILD} on
{his/her} back, tummy, or side?
BACK
TUMMY
SIDE
LIST OF RESPONSES FOR SPQ18 WILL BE SELECTED BASED ON WHICH OF THE
PRODUCTS LISTED THE RESPONDENT INDICATES THEY USE FOR DAYTIME OR
NIGHTTIME SLEEPING IN PQ5 AND PQ7
18. Do you use the sleep positioner in any of the following? (Select one or more)
The crib?
The toddler bed?
4
The play yard?
The hand-held carrier?
The stroller?
The infant swing?
The bassinet?
The cradle?
The infant hammock?
The bouncer?
The bedside sleeper?
The car seat?
19. Did you ever have any problems with the sleep positioner?
YES
NO GO TO SPQ24
20. Did you,
Fix it yourself,
Have someone else fix it,
Return the sleep positioner, or
Throw away or recycle the sleep positioner?
OTHER [RECORD RESPONSE]
IF SPQ20 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK SPQ21
IF SPQ20 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
SPQ21
OTHERWISE GO TO SPQ22
21. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
22. Did you report the problem to someone?
YES
NO GO TO SPQ24
23. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
OTHER
5
24. Did {CHILD} ever get hurt while {he/she} was in or on the sleep positioner?
YES
NO GO TO INSTRUCTIONS BEFORE SPQ28
25. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
26. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE SPQ28
27. Did you take {him/her} to a hospital emergency room?
YES
NO
IF SPQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF SPQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
28. When {will you/did you} stop using the sleep positioner with {CHILD}? When {CHILD}
{is/was} …
IF NEEDED: Or you can describe what made you decide to stop using the sleep
positioner.
0 to 12 months old,
13 to 18 months old,
19 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
29. What {will you/did you} do with the sleep positioner when you {stop/stopped} using it?
{Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
30. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
6
Gates (G)
Gate Inventory Questions
IF NEEDED: Safety gates are barriers intended to be erected in an opening, such as a doorway,
to prevent the passage of young children, but which can be removed by older persons.
Enclosures are self-supporting barriers intended to completely surround an area or play-space
within which a young child may be confined.
1. How many safety gates or other enclosures for confining a child do you currently have
in your home?
NONE GO TO GQ5
1
2
3
OTHER [RECORD RESPONSE]
IN GQ2, USE “THINKING ABOUT THE GATE OR ENCLOSURE YOU USE MOST OFTEN”
AND “IT” IF GQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE GATE OR
ENCLOSURE.”
2. {Thinking about the gate or enclosure you use most often, how/How} often do you use
{it/the gate or enclosure}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week,, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or ELIGIBLE; GO TO INSTRUCTIONS BEFORE GQ7
Never?
IF GQ1 = MORE THAN ONE, USE PLURAL IN GQ3 & GQ4
3. Have you used the gate{s} or other enclosure{s} in the past?
YES GO TO GQUESTION 6
NO
4. Do you intend to use the gate{s} or other enclosure{s} for confining a child in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO ELIGIBLE; GO TO INSTRUCTIONS BEFORE GQ7
5. Have you ever had a gate or other enclosure for confining a child at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Please think about the gate or enclosure you used most often.
1
IF GQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR GQ6.
6. How often did you use the gate or enclosure? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or ELIGIBLE; GO TO INSTRUCTIONS BEFORE GQ7
Never? ELIGIBLE; GO TO INSTRUCTIONS BEFORE GQ7
IF
IF
IF
IF
7.
GQ2=A FEW TIMES A YEAR, US E “HARDLY EVER US E” AND “IS ”
GQ4=NO, US E “DON’T INTEND TO US E” AND “IS ”
GQ6=A FEW TIMES A YEAR, US E “HARDLY EVER US ED” AND “WAS ”
GQ6=NEVER, US E “NEVER US ED” AND “WAS ”
Please tell me why you {hardly ever use/ don’t intend to use/hardly ever used/never
used} the gate. You can select more than one reason. {Is/Was} it because …
It’s too difficult to use,
Your child didn’t like it,
You didn’t like it,
You didn’t think your child was safe, or
Some other reason? [RECORD RESPONSE]
2
Gates Module (G)
These next questions are about safety gates.
IF GQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than safety gate, think
about the one you used most often.
IF NEEDED: Safety gates are barriers intended to be erected in an opening, such as a doorway,
to prevent the passage of young children, but which can be removed by older persons.
Enclosures are self-supporting barriers intended to completely surround an area or play-space
within which a young child may be confined.
IF GQ2= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, USE PRESENT
TENSE
IF GQ4= YES OR NO, USE PRESENT TENSE
IF GQ6= EVERY DAY, A FEW TIMES A WEEK, A FEW TIMES A YEAR, OR NEVER USE
PAST TENSE
8. What {is/was} the name of the safety gate or enclosure? You can tell me all or part of
the product name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
9. What type of safety gate or other enclosure {do/did} you have? {Is/was} it…
Pressure mounted, (IF NEEDED: like a shower curtain rod,
Hardware mounted, (IF NEEDED: using screws or nails),
Free-standing with no attachments at the ends, or
Something else? [RECORD RESPONSE]
10. Does the gate have a latched section that swings open?
YES
NO
11. Did you…
Purchase the gate or enclosure,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
12. When you got the gate or enclosure, was it new or secondhand?
NEW
SECOND-HAND
3
13. When did you get it?
[RECORD RESPONSE]
IF GQ12=NEW, GO TO INSTRUCTIONS BEFORE GQ15
IF GQ12=SECOND-HAND, ASK GQ14
14. How old was the gate or enclosure when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND GQ2= EVERY DAY, A FEW TIMES A WEEK, OR A
FEW TIMES A YEAR, ASK GQ15 THEN GO TO INSTRUCTIONS BEFORE GQ17;
IF MORE THAN ONE CHILD IN HH AND GQ6= EVERY DAY, A FEW TIMES A WEEK, OR A
FEW TIMES A YEAR, ASK GQ16 THEN GO TO INSTRUCTIONS BEFORE GQ17;
IF GQ3=NO OR GQ6=NEVER, GO TO INSTRUCTIONS BEFORE GQ33
OTHERWISE GO TO INSTRUCTIONS BEFORE GQ17
15. With which child do you use the gate or enclosure most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
16. With which child did you use the gate or enclosure most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF GQ4=YES, USE “WILL” IN GQ17
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
17. When {will/did} you start using the gate or enclosure {with {CHILD}}? When {CHILD}
{is/was} …
IF NEEDED: Or you can describe what made you decide to start using the gate or
enclosure.
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF GQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
18. How often {do/did} you use the gate or enclosure with {child}? Would you say…
All of the time,
Most of the time, or
Some of the time?
19. When you {are/were} not using it, {do/did} you leave it up and closed. Would you say…
All of the time,
Most of the time, or
Some of the time?
4
20. How easy or difficult {is/was} it to use the gate or enclosure? Would you say…
Very easy,
Somewhat easy,
Somewhat difficult, or
Very difficult?
21. {Does/did} the gate or enclosure do a good job of keeping {CHILD} within the desired
area?
YES GO TO GQ23
NO
22. Why didn’t the gate or enclosure do a good job?
[RECORD RESPONSE]
23. Did the gate or enclosure ever break?
YES
NO GO TO GQ28
24. Did you,
Fix it yourself,
Have someone else fix it,
Return the gate or enclosure, or
Throw away or recycle the gate or enclosure?
OTHER [RECORD RESPONSE]
IF GQ24 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK GQ25
IF GQ24 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
GQ25
OTHERWISE GO TO GQ26
25. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
26. Did you report the problem to someone?
YES
NO GO TO GQ28
27. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
5
OTHER
28. Did {CHILD} ever get hurt because of the gate or other enclosure?
YES
NO GO TO INSTRUCTIONS BEFORE GQ32
29. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
30. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE GQ
31. Did you take {him/her} to a hospital emergency room?
YES
NO
IF GQ2= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, USE FUTURE
TENSE
IF GQ6= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, USE PAST
TENSE
32. When {will you/did you} stop using the gate or enclosure with {CHILD}? When {CHILD}
{is/was} …
IF NEEDED: Or you can describe what made you decide to stop using the gate or
enclosure.
0 to 12 months old,
13 to 24 months old,
24 months to 3 years old,
More than 3 years old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF GQ2= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, USE “WILL” AND
“WHEN YOU STOP USING IT”
IF GQ4=NO, USE “WILL”
IF GQ6= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, USE “DID” AND
“WHEN YOU STOPPED USING IT”
IF GQ6=NEVER, USE “DID”
33. What {will /did } you do with the gate or enclosure {when you stop[ped} using it?
{Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
6
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
34. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
7
Play Yards (PY)
Play Yard Inventory Questions
IF NEEDED: A play yard (sometimes called a play pen or a travel crib) is a framed enclosure that
includes a floor and has mesh or fabric sided panels. It is mostly intended for children to play or
sleep in. It may fold for storage or travel.
1. How many play yards do you currently have in your home?
NONE GO TO PYQ5
1
2
3
OTHER [RECORD RESPONSE]
IN PYQ2, USE “THINKING ABOUT THE PLAY YARD YOU USE MOST OFTEN” AND “IT” IF
PYQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE PLAY YARD.”
2. {Thinking about the play yard you use most often, how/How} often do you use {it/the
play yard}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF PYQ1 = MORE THAN ONE, USE PLURAL IN PYQ3 & PYQ4
3. Have you used the play yard{s} in the past?
YES GO TO PYQ6
NO
4. Do you intend to use the play yard{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a play yard at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Please think about the play yard you used most often.
1
IF PYQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR PYQ6.
6. How often did you use the play yard? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Play Yards Module (PY)
These next questions are about play yards. If you have a bedside sleeper that can be used as a
play yard, please include that in your answers.
IF PYQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one play yard, think
about the one you used most often.
IF NEEDED: A play yard (sometimes called a play pen or a travel crib) is a framed enclosure that
includes a floor and has mesh or fabric sided panels. It is mostly intended for children to play or
sleep in. It may fold for storage or travel.
IF PYQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF PYQ4= YES, USE PRESENT TENSE
IF PYQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the play yard? You can tell me all or part of the product
name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. Did you…
Purchase the play yard,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
9. When you got the play yard, was it new or secondhand?
NEW
SECOND-HAND
10. When did you get it?
[RECORD RESPONSE]
IF PYQ9=NEW, GO TO INSTRUCTIONS BEFORE PYQ14
IF PYQ9=SECOND-HAND, ASK PYQ11
11. How old was the play yard when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND PYQ2= EVERY DAY OR A FEW TIMES A WEEK;
ASK PYQ12 THEN GO TO INSTRUCTIONS BEFORE PYQ14
IF MORE THAN ONE CHILD IN HH AND PYQ5= EVERY DAY OR A FEW TIMES A WEEK,
3
ASK PYQ13 THEN GO TO INSTRUCTIONS BEFORE PYQ14;
OTHERWISE GO TO INSTRUCTIONS BEFORE PYQ14
12. Which child uses the play yard most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
13. Which child used the play yard most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF PYQ4=YES, USE “WILL” IN PYQ14
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
14. When {will/did} you start using the play yard {with {CHILD}}? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to start using the play yard.
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
15. Did the play yard come with a bassinet?
YES
NO GO TO PYQ18
DON’T KNOW GO TO PYQ18
IF PYQ4=YES, GO TO PYQ18
16. {Do/Did} you ever use the bassinet?
YES
NO GO TO PYQ18
DON’T KNOW GO TO PYQ18
17. When you used the bassinet most often, how often did you use it? Would you say…
Every day,
A few times a week,
A few times a month,
A few times a year, or
Never?
18. Did the play yard come with a changing table?
YES
NO GO TO PYQ21
DON’T KNOW GO TO PYQ21
IF PYQ4=YES, GO TO PYQ21
4
19. {Do/Did} you ever use the changing table?
YES
NO GO TO PYQ21
DON’T KNOW GO TO PYQ21
20. When you used the changing table most often, how often did you use it? Would you
say…
Every day,
A few times a week,
A few times a month,
A few times a year, or
Never?
21. Thinking about {CHILD}’s overall sleeping schedule, both daytime and nighttime, would
you say {CHILD} {sleeps/slept} in the play yard…
All of the time,
Most of the time,
Some of the time,
Or not at all?
22. When {CHILD} is awake, is {he/she} in the play yard…
Several times a day,
Once a day,
A few times a week, or
Once a week or less?
23. Why {do/did} you use the play yard with {CHILD}? You can select more than reason.
{Is/was} it to...
Keep your child safe or entertain {him/her},
Put your child to sleep,
Allow you to do chores,
Allow you to sleep, or
For some other reason? [RECORD RESPONSE]
KEEP CHILD FROM BEING UNDERFOOT
CALM CHILD
OTHER
24. What, besides the mattress {is/was} usually placed in the play yard under {CHILD}?
You can select more than one. {Is/was} there...
A pillow,
A blanket or quilt,
A mattress pad,
A mattress that didn’t come with the play yard,
Something else, or [RECORD RESPONSE]
Nothing else?
5
25. {Are/were} there any additional items usually in the play yard with {CHILD}? You can
select more than one. {Is/was} there…
A pillow,
A blanket or quilt,
A mattress pad,
A toy,
A bottle or sippy cup,
Something else, or [RECORD RESPONSE]
PACIFIER
RATTLE
TEETHER
OTHER
Nothing else?
26. Did the play yard ever break?
YES
NO GO TO PYQ31
27. Did you,
Fix it yourself,
Have someone else fix it,
Return the play yard, or
Throw away or recycle the play yard?
OTHER [RECORD RESPONSE]
IF PYQ27 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK PYQ28
IF PYQ285 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
PYQ28
OTHERWISE GO TO PYQ29
28. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
29. Did you report the problem to someone?
YES
NO GO TO PYQUESTION31
30. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
OTHER
6
31. Did {CHILD} ever get hurt while {he/she} was in the play yard?
YES
NO GO TO INSTRUCTIONS BEFORE PYQ35
32. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
33. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE PYQ35
34. Did you take {him/her} to a hospital emergency room?
YES
NO
IF PYQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF PYQ5= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
35. When {will you/did you} stop using the play yard with {CHILD}? When {CHILD} {is/was}
…
IF NEEDED: Or you can describe what made you decide to stop using the play yard.
0 to 12 months old,
13 to 24 months old,
25 months to 3 years old,
More than 3 years old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
36. What {will you/did you} do with the play yard when you {stop/stopped} using it?
{Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
37. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
7
Infant Swings (SW)
Inventory Questions
IF NEEDED: An infant swing is a stationary product with a powered mechanism that enables a
child to swing in a seated or lying position.
1. How many infant swings do you currently have in your home?
NONE GO TO SWQ5
1
2
3
OTHER [RECORD RESPONSE]
IN SWQ2, USE “THINKING ABOUT THE INFANT SWING YOU USE MOST OFTEN” AND “IT”
IF SWQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE INFANT SWING.”
2. {Thinking about the infant swing you use most often, how/How} often do you use {it/the
infant swing}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF SWQ1 = MORE THAN ONE, USE PLURAL IN SWQ3 & SWQ4
3. Have you used the infant swings{s} in the past?
YES GO TO SWQ 6
NO
4. Do you intend to use the infant swing{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had an infant swing at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
1
Please think about the infant swing you used most often.
IF SWQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR SWQ6.
6. How often did you use the infant swing? Would you say …
Every day, ELIGIBLE; GO TO INSTRUCTIONS BEFORE SWQ7
A few times a week, ELIGIBLE; GO TO INSTRUCTIONS BEFORE SWQ7
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Infant Swing Module (SW)
These next questions are about infant swings.
IF SWQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one infant swing,
think about the one you used most often.
IF NEEDED: An infant swing is a stationary product with a powered mechanism that enables a
child to swing in a seated or lying position.
IF SWQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF SWQ4= YES, USE PRESENT TENSE
IF SWQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the infant swing? You can tell me all or part of the product
name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. Did you…
Purchase the infant swing,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
9. When you got the infant swing, was it new or secondhand?
NEW
SECOND-HAND
10. When did you get it?
[RECORD RESPONSE]
IF SWQ9=NEW, GO TO INSTRUCTIONS BEFORE SWQ12
IF SWQ9=SECOND-HAND, ASK SWQ11
11. How old was the infant swing when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND SWQ2= EVERY DAY OR A FEW TIMES A WEEK; ASK
SWQ12 THEN GO TO INSTRUCTIONS BEFORE SWQ14
IF MORE THAN ONE CHILD IN HH AND SWQ6= EVERY DAY OR A FEW TIMES A WEEK, ASK
SWQ13 THEN GO TO INSTRUCTIONS BEFORE SWQ14;
OTHERWISE GO TO INSTRUCTIONS BEFORE SWQ14
3
12. Which child uses the infant swing most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
13. Which child used the infant swing most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF SWQ4=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
14. When {will/did} you start using the infant swing {with {CHILD}}? When {CHILD} {is/was}
…
IF NEEDED: Or you can describe what made you decide to start using the infant swing.
0 to 4 months old,
5 to 8 months old,
9 to12 months old,
More than 12 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF SWQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
15. Why {do/did} you use the infant swing? You can select more than one reason. {Is/Was}
it to…
Calm or entertain your child,
Put your child to sleep,
Allow you to do chores,
Allow you to sleep, or
For some other reason? [RECORD RESPONSE]
16. {Do/did} you use the infant swing…
Several times a day,
Once a day,
A few times a week, or
Once a week or less?
17. How often {does/did} {CHILD} sleep in the swing? Would you say...
Several times a day,
Once a day,
A few times a week,
Once a week or less, or
Never?
4
18. When {CHILD} is awake, how long {is/was} {he/she} usually in the infant swing? Would
you say…
Less than 30 minutes,
30 Minutes to 1 hour, or
More than 1 hour?
19. What {is/was} the longest you {feel/felt} comfortable leaving {CHILD} in the infant swing
while you {go/went} to another room for something? Would you say…
Less than 5 minutes,
5 to15 minutes
More than 15 minutes, but less than 30 minutes,
30 minutes or more, or
Not at all?
20. Did the infant swing ever break?
YES
NO GO TO SWQ25
21. Did you,
Fix it yourself,
Have someone else fix it,
Return the infant swing, or
Throw away or recycle the infant swing?
OTHER [RECORD RESPONSE]
IF SWQ21 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK SWQ22
IF SWQ21 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
SWQ22
OTHERWISE GO TO SWQ23
22. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
23. Did you report the problem to someone?
YES
NO GO TO SWQ25
24. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
5
OTHER
25. Did {CHILD} ever get hurt while {he/she} was in the infant swing?
YES
NO GO TO INSTRUCTIONS BEFORE SWQ29
26. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
27. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE SWQ29
28. Did you take {him/her} to a hospital emergency room?
YES
NO
IF SWQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF SWQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
29. When {will you/did you} stop using the infant swing with {CHILD}? When {CHILD}
{is/was} …
IF NEEDED: Or you can describe what made you decide to stop using the infant swing.
0 to12 months old,
13 to 18 months old,
More than 18 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
30. What {will you/did you} do with the infant swing when you {stop/stopped} using it?
{Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
31. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
6
Infant Bath Tub/Bathing Aid (BT)
Inventory Questions
IF NEEDED: An infant bath tub is a product intended to hold water and be placed into an adult
bath tub, sink, or on top of other surfaces to provide support for and/or containment of an infant
during bathing.
1. How many infant bath tubs do you currently have in your home?
NONE
1
2
3
OTHER [RECORD RESPONSE]
2. A bathing aid is a reclining infant bath seat or a bathing pad or cushion. How many
bathing aids do you currently have in your home?
NONE
1
2
3
OTHER [RECORD RESPONSE]
IF BTQ1 AND BTQ2 ARE BOTH NONE, GO TO BTQ6;
IF BTQ1 IS NONE AND BTQ2 IS 1, USE “HOW” AND “THE BATHING AID” IN BTQ3;
IF BTQ1 IS 1 AND BTQ2 IS NONE, USE “HOW” AND “THE INFANT BATH TUB” IN BTQ3;
IF BTQ1 IS NONE AND BTQ2 IS 2 OR MORE, USE “THINKING ABOUT THE BATHING AID
YOU USE MOST OFTEN” AND “IT” IN BTQ3;
IF BTQ1 IS 2 OR MORE AND BTQ2 IS NONE, USE “THINKING ABOUT THE INFANT BATH
TUB YOU USE MOST OFTEN” AND “IT” IN BTQ3;
IF BTQ1 IS 1 OR MORE AND BTQ2 IS 1 OR MORE, USE “THINKING ABOUT THE INFANT
BATH TUB OR BATHING AID YOU USE MOST OFTEN” AND “IT”
3. {Thinking about the infant bath tub/bathing aid you use most often, how/How} often do
you use {it/the infant bath tub/bathing aid}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF BTQ1 IS NONE AND BTQ2 IS 1, USE “THE” AND “BATHING AID” IN BTQ5;
1
IF BTQ1 IS NONE AND BTQ2 IS 2 OR MORE, USE “ONE OF THE” AND “BATHING AIDS” IN
BTQ4;
IF BTQ1 IS 1 AND BTQ2 IS NONE, USE “THE” AND “INFANT BATH TUB” IN BTQ4;
IF BTQ1 IS 1 OR MORE AND BTQ2 IS 1 OR MORE, USE “ONE OF THE” AND “INFANT
BATH TUBS OR BATHING AIDS” IN BTQ4;
4. Have you used {the/one of the} {infant bath tub(s)/bathing aid(s)/infant bath tub(s) or
bathing aid(s)} in the past?
YES GO TO BTQ7
NO
IF BTQ1 IS NONE AND BTQ2 IS 1, USE “THE” AND “BATHING AID” IN BTQ5;
IF BTQ1 IS NONE AND BTQ2 IS 2 OR MORE, USE “ONE OF THE” AND “BATHING AIDS” IN
BTQ5;
IF BTQ1 IS 1 AND BTQ2 IS NONE, USE “THE” AND “INFANT BATH TUB” IN BTQ5;
IF BTQ1 IS 1 OR MORE AND BTQ2 IS 1 OR MORE, USE “ONE OF THE” AND “INFANT
BATH TUBS OR BATHING AIDS” IN BTQ5;
5. Do you intend to use {the/one of the} {infant bath tub(s)/bathing aid(s)/infant bath tub(s)
or bathing aid(s)} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
6. Have you ever had an infant bath tub or bathing aid at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Please think about the infant bath tub or bathing aid you used most often.
IF BTQ4=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR BTQ7.
7. How often did you use the infant bath tub or bathing aid? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Infant bath tub/bathing aid Module (BT)
These next questions are about infant bath tubs and bathing aids.
IF BTQ1OR BTQ2 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one bath tub or
bathing aid, think about the one you used most often.
IF NEEDED: An infant bath tub is a product intended to hold water and be placed into an adult
bath tub, sink, or on top of other surfaces to provide support for and/or containment of an infant
during bathing.
IF BTQ3= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF BTQ5= YES, USE PRESENT TENSE
IF BTQ7= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
8. {Is/was} the product you {use/used} most often …
An infant bath tub or
A bathing aid?
9. {Does/Did} it hold water?
YES
NO
10. What {is/was} the name of the {infant bath tub/bathing aid}? You can tell me all or part
of the product name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
11. Did you…
Purchase the {infant bath tub/bathing aid},
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
12. When you got the {infant bath tub/bathing aid}, was it new or secondhand?
NEW
SECOND-HAND
13. When did you get it?
[RECORD RESPONSE]
IF BTQ12=NEW, GO TO INSTRUCTIONS BEFORE BTQ15
IF BTQ12=SECOND-HAND, ASK BTQ14
3
14. How old was the {infant bath tub/bathing aid} when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND BTQ3= EVERY DAY OR A FEW TIMES A WEEK;
ASK BTQ14 THEN GO TO INSTRUCTIONS BEFORE BTQ16
IF MORE THAN ONE CHILD IN HH AND BTQ7= EVERY DAY OR A FEW TIMES A WEEK,
ASK BTQ15 THEN GO TO INSTRUCTIONS BEFORE BTQ16;
OTHERWISE GO TO INSTRUCTIONS BEFORE BTQ16
15. Which child uses the {infant bath tub/bathing aid} most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
16. Which child used the {infant bath tub/bathing aid} most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF BTQ5=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
17. When {will/did} you start using the {infant bath tub/bathing aid} {with {CHILD}}? When
{CHILD} {is/was} … …
IF NEEDED: Or you can describe what made you decide to start using the {infant bath
tub/bathing aid}.
0 to 4 months old,
5 to 8 months,
9 to 12 months old,
More than 12 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF BTQ5=YES, GO TO NEXT PRODUCT
OTHERWISE, CONTINUE
18. How often {do/did} you use the {infant bath tub/bathing aid}? Would you say for…
Some baths,
Most baths, or
Every bath?
19. How long {is/was} {CHILD} usually in the {infant bath tub/bathing aid} during bath time?
Would you say… (NOTE FOR INTERVIEWER: THIS INCLUDES BATHING AND PLAY)
Less than 15 minutes,
15 to 30 minutes, or
More than 30 minutes?
20. What {is/was} the longest you {feel/felt} comfortable leaving {CHILD} in the {infant bath
tub/bathing aid} while you {go/went} to another room for something? Would you say…
Less than 1 minute,
4
1 to 5 minutes,
More than 5 minutes, but less than 15 minutes,
15 minutes or more,
Or not at all?
21. Did the {infant bath tub/bathing aid} ever break?
YES
NO GO TO BTQ26
22. Did you,
Fix it yourself,
Have someone else fix it,
Return the infant bath tub, or
Throw away or recycle the {infant bath tub/bathing aid}?
OTHER [RECORD RESPONSE]
IF BTQ22 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK BTQ23
IF BTQ22 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
BTQ23
OTHERWISE GO TO BTQ24
23. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
24. Did you report the problem to someone?
YES
NO GO TO BTQ26
25. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else? OTHER [RECORD RESPONSE]
LAWYER/LAW FIRM
OTHER
26. Did {CHILD} ever get hurt while {he/she} was in the {infant bath tub/bathing aid}?
YES
NO GO TO INSTRUCTIONS BEFORE BTQ30
27. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
5
28. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE BTQ30
29. Did you take {him/her} to a hospital emergency room?
YES
NO
IF BTQ3= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF BTQ7= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
30. When {will you/did you} stop using the {infant bath tub/bathing aid} with {CHILD}? When
{CHILD} {is/was} … IF NEEDED: Or you can describe what made you decide to stop
using the {infant bath tub/bathing aid}..
0 to 12 months old,
13 to 18 months,
19 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
31. What {will/did} you do with the {infant bath tub/bathing aid} when you {stop/stopped}
using it? {Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
32. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
6
Hook-On Chairs (HO)
Inventory Questions
IF NEEDED: A hook-on chair is made to seat a child at a table so that the table can be used as a
feeding surface. It is supported solely by the table on which it is mounted.
1. How many hook-on chairs do you currently have in your home?
NONE GO TO HOQ5
1
2
3
OTHER [RECORD RESPONSE]
IN HOQ2, USE “THINKING ABOUT THE HOOK-ON CHAIR YOU USE MOST OFTEN” AND
“IT” IF HOQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE HOOK-ON CHAIR.”
2. {Thinking about the hook-on chair you use most often, how/How} often do you use
{it/the hook-on chair}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week , ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF HOQ1 = MORE THAN ONE, USE PLURAL IN HOQ3 & HOQ4
3.
Have you used the hook-on chair{s} in the past?
YES GO TO INSTRUCTIONS BEFORE HOQ6
NO
4. Do you intend to use the hook-on chair{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a hook-on chair at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
1
Please think about the hook-on chair you used most often.
IF HOQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR HOQ6.
6. How often did you use the hook-on chair? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Hook-On Chair Module (HO)
These next questions are about hook-on chairs.
IF HOQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one hook-on chair,
think about the one you used most often.
IF NEEDED: A hook-on chair is made to seat a child at a table so that the table can be used as a
feeding surface. It is supported solely by the table on which it is mounted.
7. Did you…
Purchase the hook-on chair,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
8. When you got the hook-on chair, was it new or secondhand?
NEW
SECOND-HAND
9. When did you get it?
[RECORD RESPONSE]
IF HOQ2 OR HOQ6 = EVERY DAY OR A FEW TIMES A WEEK AND HOQ8=NEW GO TO
INSTRUCTIONS BEFORE HOQ11
IF HOQ4 = YES AND HOQ8 = NEW, GO TO NEXT PRODUCT
IF HOQ8=SECOND-HAND, ASK HOQ10
10. How old was the hook-on chair when you got it?
[RECORD RESPONSE]
IF HOQ4 = YES, GO TO NEXT PRODUCT
11. Did {your child/ any of your children} ever get hurt while in the hook-on chair?
YES
NO GO TO INSTRUCTIONS BEFORE HOQ16
IF ONLY ONE CHILD IN HOUSEHOLD GO TO HQ13
12. Which child got hurt?
RECORD RESPONSE AND USE AS FILL FOR HQ13-HQ15.
3
13. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
14. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE HOQ16
15. Did you take {him/her} to a hospital emergency room?
YES
NO
IFHO Q2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF HOQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
16. What {will you/did you} do with the hook-on chair when you {stop/stopped} using it?
{Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
17. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
4
High Chairs (H)
Inventory Questions
IF NEEDED: A high chair is a free standing chair that elevates a child to standard dining table
height. It is usually used for feeding the child.
1. How many high chairs do you currently have in your home?
NONE GO TO HQUESTION 5
1
2
3
OTHER [RECORD RESPONSE]
IN HQ2, USE “THINKING ABOUT THE HIGH CHAIR YOU USE MOST OFTEN” AND “IT” IF
HQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE HIGH CHAIR.”
2. {Thinking about the high chair you use most often, how/How} often do you use {it/the
high chair}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF HQ1 = MORE THAN ONE, USE PLURAL IN HQ3 & HQ4
3. Have you used the high chair{s} in the past?
YES GO TO INSTRUCTION BEFORE HQ6
NO
4. Do you intend to use the high chair{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a high chair at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Please think about the high chair you used most often.
IF HQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR HQ6.
1
6. How often did you use the high chair? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
High Chair Module (H)
These next questions are about high chairs
IF HQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one high chair,
think about the one you used most often.
IF NEEDED: A high chair is a free standing chair that elevates a child to standard dining table
height. It is usually used for feeding the child.
IF HQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF HQ4= YES, USE PRESENT TENSE
IF HQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the high chair? You can tell me all or part of the product
name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. Did you…
Purchase the high chair,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
9. When you got the high chair, was it new or secondhand?
NEW
SECOND-HAND
10. When did you get it?
[RECORD RESPONSE]
IF HQ9=NEW, GO TO INSTRUCTIONS BEFORE HQ12
IF HQ9=SECOND-HAND, ASK HQ11
11. How old was the high chair when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND HQ2= EVERY DAY OR A FEW TIMES A WEEK, ASK
HQ12 THEN GO TO INSTRUCTIONS BEFORE HQ14;
IF MORE THAN ONE CHILD IN HH AND HQ6= EVERY DAY OR A FEW TIMES A WEEK, ASK
HQ13 THEN GO TO INSTRUCTIONS BEFORE HQ14;
OTHERWISE GO TO HQ14
3
12. Which child uses the high chair most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
13. Which child used the high chair most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF HQ4=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
14. When {will/did} you start using the high chair {with {CHILD}}? When {CHILD} {is/was}…
IF NEEDED: Or you can describe what made you decide to start using the high chair.
0 to 4 months old,
5 to 8 months old,
9 to 12 months old,
More than 12 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF HQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
15. How long {is/was} {CHILD} usually in the high chair during meal times? Would you
say…
Less than 15 minutes,
15 to 30 minutes, or
More than 30 minutes?
16. What {is/was} the longest you {feel/felt} comfortable leaving {CHILD} in the high chair
while you {go/went} to another room for something? Would you say…
Less than 1 minute,
1 to 5 minutes,
6 to 15 minutes,
More than 15 minutes, or
Not at all?
17. Did the high chair ever break?
YES
NO GO TO HQ22
18. Did you,
Fix it yourself,
Have someone else fix it,
Return the high chair, or
Throw away or recycle the high chair?
OTHER [RECORD RESPONSE]
4
IF HQ18 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK HQ19
IF HQ18 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
HQ19
OTHERWISE GO TO HQ20
19. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
20. Did you report the problem to someone?
YES
NO GO TO HQ22
21. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
OTHER
22. Did {CHILD} ever get hurt while {he/she} was in the high chair?
YES
NO GO TO INSTRUCTIONS BEFORE HQ26
23. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
24. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE HQ26
25. Did you take {him/her} to a hospital emergency room?
YES
NO
5
IF HQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF HQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
26. When {will you/did you} stop using the high chair with {CHILD}? When {child}
{is/was}…
IF NEEDED: Or you can describe what made you decide to stop using the high chair.
0 to 12 months old,
13 to 24 months old,
25 months to 3 years old,
More than 3 years old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
27. What {will you/did you} do with the high chair when you {stop/stopped} using it?
{Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
28. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
6
Handheld Carriers (HH)
Inventory Questions
IF NEEDED: A hand-held carrier is rigid sided and intended to carry a child by means of hand-
holds or handles. It completely supports the child’s torso. It often comes as a removable part of
a car seat or a stroller.
1. How many handheld carriers do you currently have in your home?
NONE GO TO HHQ5
1
2
3
OTHER [RECORD RESPONSE]
IN HHQ2, USE “THINKING ABOUT THE HANDHELD CARRIER YOU USE MOST OFTEN”
AND “IT” IF HHQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE HANDHELD
CARRIER.”
2. {Thinking about the handheld carrier you use most often, how/How} often do you use
{it/the handheld carrier}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF HHQ1 = MORE THAN ONE, USE PLURAL IN HQ3 & HHHQ4
3. Have you used the handheld carrier{s} in the past?
YES GO TO HHQUESTION 6
NO
4. Do you intend to use the handheld carrier{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a handheld carrier at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Please think about the handheld carrier you used most often.
1
IF HHQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR HHQ6.
6. How often did you use the handheld carrier? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Handheld Carrier Module (HH)
These next questions are about handheld carriers. Please include in your answers handheld
carriers that came with a stroller as part of a car seat but that can be removed and used
separately.
IF HHQ1 IS 2 OR MORE: Please think about the handheld carrier you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one handheld
carrier, think about the one you used most often.
IF NEEDED: A hand-held carrier is rigid sided and intended to carry a child by means of hand-
holds or handles. It completely supports the child’s torso. It often comes as a removable part of
a car seat or a stroller.
IF HHQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF HHQ3= YES, USE PRESENT TENSE
IF HHQ5= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the handheld carrier? You can tell me all or part of the
product name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. Did the handheld carrier come with a stroller or car seat?
YES
NO
DON’T KNOW
9. Did you…
Purchase the handheld carrier,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
10. When you got the handheld carrier, was it new or secondhand?
NEW
SECOND-HAND
11. When did you get it?
[RECORD RESPONSE]
IF HHQ10=NEW, GO TO INSTRUCTIONS BEFORE HHQ13
IF HHQ10=SECOND-HAND, ASK HHQ12
3
12. How old was the handheld carrier when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND HHQ2= EVERY DAY OR A FEW TIMES A WEEK;
ASK HHQ13 THEN GO TO INSTRUCTIONS BEFORE HHQ15
IF MORE THAN ONE CHILD IN HH AND HHQ6= EVERY DAY OR A FEW TIMES A WEEK,
ASK HHQ14 THEN GO TO INSTRUCTIONS BEFORE HHQ15
OTHERWISE, GO TO INSTRUCTIONS BEFORE HHQ15.
13. Which child uses the handheld carrier most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
14. Which child used the handheld carrier most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF HHQ4=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
15. When {will/did} you start using the handheld carrier {with {CHILD}}? When {CHILD}
{is/was} …
IF NEEDED: Or you can describe what made you decide to start using the handheld
carrier.
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF HHQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
16. {Do/Did} you use the handheld carrier…?
Several times a day,
Once a day,
A few times a week, or
Once a week or less?
17. How often {does/did} {CHILD} sleep in the handheld carrier. Would you say...
Several times a day,
Once a day,
A few times a week,
Once a week or less, or
Never?
4
18. When {CHILD} is awake, how long {is/was} {he/she} usually in the handheld carrier?
Would you say…
Less than 30 minutes,
30 minutes to 1 hour, or
More than 1 hour?
19. What {is/was} the longest you {feel/felt} comfortable leaving {CHILD} in the handheld
carrier while you {go/went} to another room for something? Would you say…
Less than 5 minutes,
5 to15 minutes,
More than 15 minutes, but less than 30 minutes,
30 minutes or more, or
Not at all?
20. Did the handheld carrier ever break?
YES
NO GO TO HHQ25
21. Did you,
Fix it yourself,
Have someone else fix it,
Return the handheld carrier, or
Throw away or recycle the handheld carrier?
OTHER [RECORD RESPONSE]
IF HHQ21 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK HHQ22
IF HHQ21 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
HHQ22
OTHERWISE GO TO HHQ23
22. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
23. Did you report the problem to someone?
YES
NO GO TO HHQ25
24. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
5
OTHER
25. Did {CHILD} ever get hurt while {he/she} was in the handheld carrier?
YES
NO GO TO INSTRUCTIONS BEFORE HHQ29
26. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
27. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE HHQ29
28. Did you take {him/her} to a hospital emergency room?
YES
NO
IF HHQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF HHQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
29. When {will you/did you} stop using the handheld carrier with {CHILD}? When {CHILD}
{is/was} … IF NEEDED: Or you can describe what made you decide to stop using the
handheld carrier.
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
30. What {will you/did you} do with the handheld carrier when you {stop/stopped} using it?
{Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
6
CURRENT OWNERS GO TO NEXT PRODUCT
31. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
7
Front Soft Carriers (F)
Inventory Questions
IF NEEDED: A soft infant carrier is normally made of sewn fabric and is designed to contain a
child, generally in an upright position, next to the caregiver’s body. They are generally worn on
the front of the caregiver’s body with the child either facing towards or away from the caregiver.
1. How many front soft carriers do you currently have in your home?
NONE GO TO FQ5
1
2
3
OTHER [RECORD RESPONSE]
IN FQ2, USE “THINKING ABOUT THE FRONT SOFT CARRIER YOU USE MOST OFTEN”
AND “IT” IF FQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE FRONT SOFT
CARRIER.”
2. {Thinking about the front soft carrier you use most often, how/How} often do you use
{it/the front soft carrier}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or ELIGIBLE GO TO INSTRUCTIONS BEFORE FQ7
Never?
IF FQ1 = MORE THAN ONE, USE PLURAL IN FQ3 & FQ4
3. Have you used the front soft carrier{s} in the past?
YES GO TO FQ6
NO
4. Do you intend to use the front soft carrier{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO ELIGIBLE; GO TO INSTRUCTIONS BEFORE FQ7
5. Have you ever had a front soft carrier at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Please think about the front soft carrier you used most often.
1
IF FQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR FQ6.
6. How often did you use the front soft carrier? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or ELIGIBLE GO TO INSTRUCTIONS BEFORE FQ7
Never? ELIGIBLE; GO TO INSTRUCTIONS BEFORE FQ7
IF FQ2= A FEW TIMES A YEAR, USE “HARDLY EVER USE” AND “IS”
IF FQ4=NO, USE “DON’T INTEND TO USE” AND “IS”
IF FQ6=A FEW TIMES A YEAR, USE “HARDLY EVER USED” AND “WAS”
IF FQ6=NEVER, USE “NEVER USED” AND “WAS”
7. Please tell me why you {hardly ever use/ don’t intend to use/hardly ever used/never
used} the front soft carrier. You can select more than one reason. {Is/Was} it because
…
It’s too difficult to use,
Your child didn’t like it,
You didn’t like it,
You didn’t think your child was safe, or
Some other reason? [RECORD RESPONSE]
2
Front Soft Carrier Module (F)
These next questions are about front soft carriers. Please do not include sling in your answers
to these questions.
IF FQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one front soft
carrier, think about the one you used most often.
IF NEEDED: A soft infant carrier is normally made of sewn fabric and is designed to contain a
child, generally in an upright position, next to the caregiver’s body. They are generally worn on
the front of the caregiver’s body with the child either facing towards or away from the caregiver.
IF FQ2= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, USE PRESENT
TENSE
IF FQ4= YES OR NO, USE PRESENT TENSE
IF FQ6= EVERY DAY, A FEW TIMES A WEEK,, A FEW TIMES A YEAR, OR NEVER, USE
PAST TENSE
8. What {is/was} the name of the front soft carrier? You can tell me all or part of the
product name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
9. Did you…
Purchase the front soft carrier,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
10. When you got the front soft carrier, was it new or secondhand?
NEW
SECOND-HAND
11. When did you get it?
[RECORD RESPONSE]
IF FQ10=NEW, GO TO INSTRUCTIONS BEFORE FQ13
IF FQ10=SECOND-HAND, ASK FQ12
12. How old was the front soft carrier when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND FQ2= EVERY DAY, A FEW TIMES A WEEK, OR A
FEW TIMES A YEAR; ASK FQ13 THEN GO TO INSTRUCTIONS BEFORE FQ15
3
IF MORE THAN ONE CHILD IN HH AND FQ6= EVERY DAY, A FEW TIMES A WEEK, OR A
FEW TIMES A YEAR, ASK FQ14 THEN GO TO INSTRUCTIONS BEFORE FQ15;
IF FQ4 = NO OR IF FQ6=NEVER, GO TO FQ32
IF FQ4 = YES, GO TO INSTRUCTIONS BEFORE FQ15
OTHERWISE GO TO INSTRUCTIONS BEFORE FQ15
13. With which child do you use the front soft carrier most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
14. With which child did you use the front soft carrier most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF FQ4=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
15. When {will/did} you start using the front soft carrier {with {CHILD}}? When {CHILD}
{is/was} …
IF NEEDED: Or you can describe what made you decide to start using the front soft
carrier.
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF FQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
16. What activities {do/did} you use the front soft carrier for? You can select more than one
activity. {Do/did} you use it to…
Do chores.
Go shopping,
Go for walks, or
For something else? [RECORD RESPONSE]
17. How {is/was} {CHILD} usually seated when you {carry/carried} {him/her} in the front soft
carrier? {Is/was} {he/she}…
Facing towards you,
Facing away from you, or
Do you carry {him/her} both ways equally?
18. How often {do/did} you check {child}’s face while in the front soft carrier? Would you
say…
Every minute,
Every five minutes,
Every ten minutes, or
4
Longer than every ten minutes?
19. How long {do/did} you usually carry {CHILD} in the front soft carrier? Would you say…
Less than 15 minutes,
15 to 30 minutes,
More than 30 minutes, but less than 1 hour, or
More than 1 hour?
20. What {is/was} the longest you {carry/carried} {CHILD} in the front soft carrier? Would
you say…
Less than 30 minutes,
30 minutes to 1 hour,
More than 1 hour, or
More than 2 hours?
21. {Have/did} you {had/have} any difficulties adjusting the front soft carrier?
YES
NO
22. Did the front soft carrier ever break?
YES
NO GO TO FQ27
23. Did you,
Fix it yourself,
Have someone else fix it,
Return the front soft carrier, or
Throw away or recycle the front soft carrier?
OTHER [RECORD RESPONSE]
IF FQ23 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK FQ24
IF FQ23 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
FQ24
OTHERWISE GO TO FQ25
24. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
25. Did you report the problem to someone?
YES
NO GO TO FQ27
5
26. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
OTHER
27. Did {CHILD} ever get hurt while {he/she} was in the front soft carrier?
YES
NO GO TO INSTRUCTIONS BEFORE FQ31
28. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
29. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE FQ31
30. Did you take {him/her} to a hospital emergency room?
YES
NO
IF FQ2= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, USE FUTURE TENSE
IF FQ6= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, USE PAST TENSE
31. When {will you/did you} stop using the front soft carrier with {CHILD}? When {CHILD}
{is/was} … IF NEEDED: Or you can describe what made you decide to stop using the
front soft carrier.
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF FQ2= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, US E “WILL”
AND “WHEN YOU S TOP US ING IT”
IF FQ4=NO, US E “WILL
IF FQ6= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, US E “DID” AND
“WHEN YOU S TOP P ED US ING IT”
IF FQ6=NEVER, US E “DID”
6
32. What {will/ did } you do with the front soft carrier {when you stop[ped] using it}?
{Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it?
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
33. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
7
Cribs (C)
Crib Inventory Questions
IF NEEDED: A crib is a bed that is designed to provide sleeping accommodations for an infant.
Its sides and ends are made of rigid materials like wood, plastic, or metal. Soft-sided products
are considered play yards.
1. How many cribs do you currently have in your home?
NONE GO TO CQ5
1
2
3
OTHER [RECORD RESPONSE]
IN CQ2, USE “THINKING ABOUT THE CRIB YOU USE MOST OFTEN” AND “IT” IF CQ1 IS 2
OR MORE. OTHERWISE USE “HOW” AND “THE CRIB.”
2. {Thinking about the crib you use most often, how/How} often do you use {it/the crib}?
Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF CQ1 = MORE THAN ONE, USE PLURAL IN CQ3 & CQ4
3. Have you used the crib{s} in the past?
YES GO TO CQ6
NO
4. Do you intend to use the crib{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a crib at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
1
Please think about the crib you used most often.
IF CQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR CQ6.
6. How often did you use the crib? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Crib Module (C)
These next questions are about cribs. If it’s a convertible crib that’s already been converted to a
toddler bed, please answer these questions only for the time you used it as a crib
IF CQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one crib, think
about the one you used most often.
IF NEEDED: A crib is a bed that is designed to provide sleeping accommodations for an infant.
Its sides and ends are made of rigid materials like wood, plastic, or metal. Soft-sided products
are considered play yards.
IF CQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE EXCEPT WHERE
NOTED
IF CQ4= YES, USE PRESENT TENSE
IF CQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the crib? You can tell me all or part of the product name or
just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. What size mattress {is/was} in the crib? {Is/was} it…
Regular, (INTERVIEWER NOTE: The interior measurement of regular cribs is
approximately 4 feet long.)
Compact, or
Some other size? [RECORD RESPONSE]
(INTERVIEWER NOTE: The mattress size could be larger than a regular crib or
it could be a unique shape.)
DON’T KNOW
9. What kind of mattress {do/did} you use in the crib? {Is/was} it…
The mattress that came with the crib,
A standard crib mattress that was purchased separately (INTERVIEWER NOTE: A
standard crib mattress is approximately 4 feet long.), or
A non-standard crib mattress that was purchased separately?
DON’T KNOW
10. Did you…
Purchase the crib,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
3
11. When you got the crib, was it new or secondhand?
NEW
SECOND-HAND
12. When did you get it?
[RECORD RESPONSE]
IF CQ11=NEW, GO TO INSTRUCTIONS BEFORE CQ14
IF CQ11=SECOND-HAND, ASK CQ13
13. How old was the crib when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND CQ2= EVERY DAY OR A FEW TIMES A WEEK; ASK
CQ14 THEN GO TO INSTRUCTIONS BEFORE CQ16
IF MORE THAN ONE CHILD IN HH AND CQ6= EVERY DAY OR A FEW TIMES A WEEK, ASK
CQ15 THEN GO TO INSTRUCTIONS BEFORE CQ16;
OTHERWISE GO TO INSTRUCTIONS BEFORE CQ16
14. Which child uses the crib most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
15. Which child used the crib most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF CQ4=YES, USE “WILL” IN CQ16
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
16. When {will/did} you start using the crib {with {CHILD}}? When {CHILD} {is/was} …IF
NEEDED: Or you can describe what made you decide to start using the crib.
0 to 12 months old,
13 to 24 months old,
25 months old to 3 years old,
More than 3 years old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
17. {Does/Did} the crib have a drop side?
YES
NO GO TO CQ19
18. How important {is/was} it that the crib have a drop side? Would you say…
Not at all important,
Somewhat important, or
Very important?
4
19. {Does/Did} the crib have more than one mattress level?
YES
NO
IF CQ4=YES, GO TO CQ24
OTHERWISE:
IF CQ19=YES AND CQ6= EVERY DAY OR A FEW TIMES A WEEK, GO TO CQ21
IF CQ19=YES AND CQ2= EVERY DAY OR A FEW TIMES A WEEK, ASK CQ20
IF CQ19=NO GO TO CQ22
20. Have you changed the mattress level?
YES
NO
IF CQ20=YES, USE “DID” IN CQ21
IF CQ20=NO AND CQ6=EVERY DAYOR A FEW TIMES A WEEK, GO TO CQ22
IF CQ20=NO, USE “WILL” IN CQ21
21. When {did you first/will} you change the mattress level? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to change the mattress level.
0 to 6 months old,
7 to 12 months old,
13 to 18 months old,
More than 18 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
DID NOT CHANGE/DO NOT PLAN TO CHANGE MATTRESS LEVEL
22. What {is/was} usually placed in the crib under {CHILD} besides the mattress? You can
select more than one. {Is/was} there...
A pillow,
A blanket or quilt,
A mattress pad,
Something else, or [RECORD RESPONSE]
Nothing else?
23. What additional items {are/were} usually in the crib with {CHILD}? You can select more
than one. {Is/was} there...
A pillow,
A blanket or quilt,
A mattress pad,
A toy,
A bottle or sippy cup,
Something else, or [RECORD RESPONSE]
PACIFIER
RATTLE
TEETHER
5
BUMPER PADS
OTHER
Nothing else?
24. {Is/Was} the crib convertible to a toddler bed?
YES
NO
IF CQ4=GO TO NEXT PRODUCT
OTHERWISE:
IF CQ24=YES, ASK CQ25
IF CQ24=NO, GO TO CQ26
25. When {did/will} you convert your crib to a toddler bed? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to convert your crib to a toddler
bed.
0 to 12 months old,
13 to 24 months old,
25 months to 3 years old,
More than 3 years old, or
Some other age [RECORD RESPONSE]
NEVER CONVERTED
DON’T PLAN TO CONVERT
26. Did the crib ever break?
YES
NO GO TO CQ31
27. Did you,
Fix it yourself,
Have someone else fix it,
Return the crib, or
Throw away or recycle the crib?
OTHER [RECORD RESPONSE]
IF CQ27 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK CQ28
IF CQ27 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
CQ28
OTHERWISE GO TO CQ29
28. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
29. Did you report the problem to someone?
YES
NO GO TO CQ31
6
30. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else? OTHER [RECORD RESPONSE]
LAWYER/LAW FIRM
OTHER
31. Did {CHILD} ever get hurt while {he/she} was in the crib?
YES
NO GO TO INSTRUCTIONS BEFORE CQ35
32. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
33. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE CQ35
34. Did you take {him/her} to a hospital emergency room?
YES
NO
IF CQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF CQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
IF CQ25 = ANYTHING OTHER THAN NEVER CONVERTED OR DON’T PLAN TO CONVERT,
SKIP TO CQ36
35. When {will/did} you stop using the crib with {CHILD}? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to stop using the crib..
0 to 12 months old,
13 to 24 months old,
25 months to 3 years old,
More than 3 years old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
36. What {will/did} you do with the crib when you {stop/stopped} using it? {Did/will} you…
Store it, GO TO CQ38
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
7
TRADED IN
OTHER
CURRENT OWNERS GO TO CQ38
37. And when did you do that?
[RECORD RESPONSE]
38. {Will/Did} you take the crib apart to store it?
YES
NO
GO TO NEXT PRODUCT
8
Crib Bumpers (CB)
Inventory Questions
IF NEEDED: Crib bumpers are a set of four pads tied to the inside of an infant's crib that rest
directly above the mattress. They are usually made of washable fabric.
1. How many sets of crib bumpers do you currently have in your home?
(Note to interviewer: one set per crib)
NONE GO TO CBQ5
1
2
3
OTHER [RECORD RESPONSE]
IN CBQ2, USE “THINKING ABOUT THE SET OF CRIB BUMPERS YOU USE MOST OFTEN”
AND “IT” IF CBQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE CRIB BUMPERS.”
2. {Thinking about the set of crib bumpers you use most often, how/How} often do you use
{it/the crib bumpers}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF CBQ1 = MORE THAN ONE, USE PLURAL IN CBQ3 & CBQ4
3. Have you used the crib bumper{s} in the past?
YES GO TO CBQUESTION 6
NO
4. Do you intend to use the crib bumper{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a set of crib bumpers at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Please think about the crib bumpers you used most often.
1
IF CBQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR CBQ6.
6. How often did you use the crib bumpers? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Crib bumper Module (CB)
These next questions are about crib bumpers
IF CBQ1 IS 2 OR MORE: Please think about the ones you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one set of crib
bumpers, think about the one you used most often.
IF NEEDED: Crib bumpers are a set of four pads tied to the inside of an infant's crib that rest
directly above the mattress. They are usually made of washable fabric.
IF CBQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF CBQ4= YES, USE PRESENT TENSE
IF CBQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the crib bumpers? You can tell me all or part of the product
name or just describe what they {look/looked} like. IF NEEDED: Or you can describe
some unique or special feature of them.
[RECORD RESPONSE]
8. {Does/Did} the crib bumpers have ties to attach to the crib?
YES
NO
9. Did you…
Purchase the crib bumpers,
Receive them as a gift, or
Borrow them?
OTHER [RECORD RESPONSE]
10. When you got the crib bumpers, were they new or secondhand?
NEW
SECOND-HAND
11. When did you get them?
[RECORD RESPONSE]
IF CBQ10=NEW, GO TO INSTRUCTIONS BEFORE CBQ13
IF CBQ10=SECOND-HAND, ASK CBQ12
12. How old were the crib bumpers when you got them?
[RECORD RESPONSE]
3
IF MORE THAN ONE CHILD IN HH AND CBQ2= EVERY DAY OR A FEW TIMES A WEEK,
ASK CBQ13 THEN GO TO INSTRUCTIONS BEFORE CBQ15;
IF MORE THAN ONE CHILD IN HH AND CBQ6= EVERY DAY OR A FEW TIMES A WEEK,
ASK CBQ14 THEN GO TO INSTRUCTIONS BEFORE CBQ15;
OTHERWISE GO TO INSTRUCTIONS BEFORE CBQ15
13. For which child do you use the crib bumpers most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
14. For which child did you use the crib bumper most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF CBQ4=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
15. When {will/did} you start using the crib bumpers {with {CHILD}}? When {CHILD} {is/was}
… IF NEEDED: Or you can describe what made you decide to start using the crib
bumpers.
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF CBQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
16. Did you ever have a problem with the crib bumpers?
YES
NO GO TO CBQ21
17. Did you,
Fix them yourself,
Have someone else fix them,
Return the crib bumpers, or
Throw away or recycle the crib bumpers?
OTHER [RECORD RESPONSE]
IF CBQ17 = “FIX THEM YOURSELF” OR “HAVE SOMEONE ELSE FIX THEM”, ASK CBQ18
IF CBQ17 = “HAVE SOMEONE ELSE FIX THEM”, INCLUDE “BY THE MANUFACTURER OR”
IN CBQ18
OTHERWISE GO TO CBQ19
18. Were they fixed {by the manufacturer or} with manufacturer-supplied parts or
instructions?
YES
NO
4
19. Did you report the problem to someone?
YES
NO GO TO CBQ21
20. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
OTHER
OTHER [RECORD RESPONSE]
21. Did {CHILD} ever get hurt because of the crib bumpers?
YES
NO GO TO INSTRUCTIONS BEFORE CBQ25
22. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
23. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE CBQ25
24. Did you take {him/her} to a hospital emergency room?
YES
NO
IF CBQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF CBQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
25. When {will you/did you} stop using the crib bumpers with {CHILD}? When {CHILD}
{is/was} …
IF NEEDED: Or you can describe what made you decide to stop using the crib bumpers
0 to 12 months old,
13 to 24 months old,
25 months to 3 years old,
More than 3 years old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
5
26. What {will/did} you do with the crib bumpers when you {stop/stopped} using them?
{Did/will} you…
Store them, GO TO NEXT PRODUCT
Sell them,
Give them away,
Trash or recycle them, or
Do something else with them? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
27. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
6
Changing Table (CT)
Inventory Questions
IF NEEDED: A changing table is an elevated structure designed to support and retain a child
while a caregiver changes the child’s diaper.
1. How many changing tables do you currently have in your home?
NONE GO TO CTQ5
1
2
3
OTHER [RECORD RESPONSE]
IF CTQ1 IS 2 OR MORE, USE “THINKING ABOUT THE CHANGING TABLE YOU USE MOST
OFTEN, HOW” AND “IT” IN CTQ2. OTHERWISE USE “HOW” AND “THE CHANGING
TABLE.”
2. {Thinking about the changing table you use most often, how/How} often do you use
{it/the changing table}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
3. Have you used the changing table{s} in the past?
YES GO TO CTQ6
NO
4. Do you intend to use the changing table{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a changing table at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Please think about the changing table you used most often.
IF CTQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR CTQ6.
1
6. How often did you use the changing table? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Changing Table Module (CT)
These next questions are about changing tables. Please include in your answers changing
tables that come as attachments to other products such as cribs and play yards.
IFCTQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one changing table,
think about the one you used most often.
IF NEEDED: A changing table is an elevated structure designed to support and retain a child
while a caregiver changes the child’s diaper.
IF CTQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF CTQ4= YES, USE PRESENT TENSE
IF CTQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the changing table? You can tell me all or part of the
product name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. {Is/Was} the changing table stand-alone or {does/did} it attach to another product?
STAND-ALONE GO TO CTQ 10
ATTACHMENT
9. {Does/Did} the changing table attach to…
A play yard,
A bedside sleeper, or
Something else? [RECORD RESPONSE]
10. Did you…
Purchase the changing table,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
11. When you got the changing table, was it new or secondhand?
NEW
SECOND-HAND
12. When did you get it?
[RECORD RESPONSE]
3
IF CTQ11=NEW, GO TO INSTRUCTIONS BEFORE CTQ14
IF CTQ11=SECOND-HAND, ASK CTQ13
13. How old was the changing table when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND CTQ2= EVERY DAY OR A FEW TIMES A WEEK; ASK
CTQ14 THEN GO TO INSTRUCTIONS BEFORE CTQ16
IF MORE THAN ONE CHILD IN HH AND CTQ6= EVERY DAY OR A FEW TIMES A WEEK, ASK
CTQ15 THEN GO TO INSTRUCTIONS BEFORE CTQ16;
OTHERWISE GO TO INSTRUCTIONS BEFORE CTQ16
14. Which child uses the changing table most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
15. Which child used the changing table most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF CTQ4=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
16. When {will/did} you start using the changing table {with {CHILD}}? When {CHILD}
{is/was} …
IF NEEDED: Or you can describe what made you decide to start using the changing
table.
0 to 4 months old,
5 to 8 months old,
9 to 12 months old,
More than 12 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF CTQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
17. What {is/was} the longest you {feel/felt} comfortable leaving {CHILD} on the changing
table while you {go/went} to another room for something? Would you say…
Less than 1 minute,
1 to 5 minutes,
More than 5 minutes, but less than 15 minutes
15 minutes or more, or
Not at all?
18. Did the changing table ever break?
YES
NO GO TO CTQUESTION 23
4
19. Did you,
Fix it yourself,
Have someone else fix it,
Return the changing table, or
Throw away or recycle the changing table?
OTHER [RECORD RESPONSE]
IF CTQ19 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK CTQ20
IF CTQ19 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
CTQ20
OTHERWISE GO TO CTQ21
20. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
21. Did you report the problem to someone?
YES
NO GO TO CTQUESTION 23
22. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
TRADED IN
OTHER
23. Did {CHILD} ever get hurt while {he/she} was on the changing table?
YES
NO GO TO INSTRUCTIONS BEFORE CTQ27
24. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
25. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE CTQ27
26. Did you take {him/her} to a hospital emergency room?
YES
NO
5
IF CTQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF CTQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
27. When {will you/did you} stop using the changing table with {CHILD}? When {CHILD}
{is/was} …
IF NEEDED: Or you can describe what made you decide to stop using the changing
table.
0 to 12 months old,
13 to 24 months old,
25 months to 3 years old,
More than 3 years old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
28. What {will/did} you do with the changing table when you {stop/stopped} using it?
{Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
29. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
6
Bouncers (BO)
Inventory Questions
IF NEEDED: An infant bouncer seat is a freestanding product intended to support a child in a
reclined position to facilitate bouncing, with the aid of a caregiver or by other means.
1. How many bouncers do you currently have in your home?
NONE GO TO BOQ5
1
2
3
OTHER [RECORD RESPONSE]
IN BOQ2, USE “THINKING ABOUT THE BOUNCER YOU USE MOST OFTEN” AND “IT” IF
BOQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE BOUNCER.”
2. {Thinking about the bouncer you use most often, how/How} often do you use {it/the
bouncer}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
3. Have you used the bouncer{s} in the past?
YES GO TO INSTRUCTIONS BEFORE BOQ6
NO
4. Do you intend to use the bouncer{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a bouncer at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Please think about the bouncer you used most often.
IF BOQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR BOQ6.
1
6. How often did you use the bouncer? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Bouncer Module (BO)
These next questions are about infant bouncers
IF BOQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one infant bouncer,
think about the one you used most often.
IF NEEDED: An infant bouncer seat is a freestanding product intended to support a child in a
reclined position to facilitate bouncing, with the aid of a caregiver or by other means.
IF BOQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF BOQ4= YES, USE PRESENT TENSE
IF BOQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the bouncer? You can tell me all or part of the product name
or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. Did you…
Purchase the bouncer,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
9. When you got the bouncer, was it new or secondhand?
NEW
SECOND-HAND
10. When did you get it?
[RECORD RESPONSE]
IF BOQ9=NEW, GO TO INSTRUCTIONS BEFORE BOQ12
IF BOQ9=SECOND-HAND, ASK BOQ11
11. How old was the bouncer when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND BOQ2= EVERY DAY OR A FEW TIMES A WEEK; ASK
BOQ12 THEN GO TO INSTRUCTIONS BEFORE BOQ14
IF MORE THAN ONE CHILD IN HH AND BOQ6= EVERY DAY OR A FEW TIMES A WEEK, ASK
BOQ13 THEN GO TO INSTRUCTIONS BEFORE BOQ14;
OTHERWISE GO TO INSTRUCTIONS BEFORE BOQ14
3
12. Which child uses the bouncer most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
13. Which child used the bouncer most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF BOQ4=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
14. When {will/did} you start using the bouncer {with {CHILD}}? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to start using the bouncer.
0 to 4 months old,
5 to 8 months old,
9 to 12 months old,
More than 12 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF BOQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
15. Why {do/did} you use the bouncer? You can select more than one reason. {Is/Was} it
to…
Calm or entertain your child,
Put your child to sleep,
Allow you to do chores,
Allow you to sleep, or
For some other reason? [RECORD RESPONSE]
16. {Do/Did} you use the bouncer…
Several times a day,
Once a day,
A few times a week, or
Once a week or less?
17. How often {does/did} {CHILD} sleep in the bouncer. Would you say...
Several times a day,
Once a day,
A few times a week,
Once a week or less, or
Never?
4
18. When {CHILD} is awake, how long {is/was} {he/she} usually in the bouncer? Would you
say…
Less than 30 minutes,
30 minutes to 1 hour, or
More than 1 hour?
19. What {is/was} the longest you {feel/felt} comfortable leaving {CHILD} in the bouncer
while you {go/went} to another room for something? Would you say…
Less than 5 minutes,
5 to 15 minutes,
More than 15 minutes, but less than 30 minutes,
30 minutes or more, or
Not at all?
20. Did the bouncer ever break?
YES
NO GO TO BOQ25
21. Did you,
Fix it yourself,
Have someone else fix it,
Return the bouncer, or
Throw away or recycle the bouncer?
OTHER [RECORD RESPONSE]
IF BOQ21 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK BOQ22
IF BOQ21 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
BOQ22
OTHERWISE GO TO BOQ23
22. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
23. Did you report the problem to someone?
YES
NO GO TO BOQ25
24. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
5
OTHER
OTHER [RECORD RESPONSE]
25. Did {CHILD} ever get hurt while {he/she} was in the bouncer?
YES
NO GO TO INSTRUCTIONS BEFORE BOQ29
26. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
27. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE BOQ29
28. Did you take {him/her} to a hospital emergency room?
YES
NO
IF BOQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF BOQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
29. When {will you/did you} stop using the bouncer with {CHILD}? When {CHILD} {is/was}
… IF NEEDED: Or you can describe what made you decide to stop using the bouncer.
0 to12 months old,
13 to 18 months old,
More than 18 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
30. What {will/did} you do with the bouncer when you {stop/stopped} using it? {Did/will}
you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
31. And when did you do that?
[RECORD RESPONSE]
6
GO TO NEXT PRODUCT
7
Booster Chair (B)
Inventory Questions
IF NEEDED: A booster seat is a child’s chair, which is placed on an adult chair to elevate the
child to standard dining table height. It is normally used for feeding children.
1. How many booster chairs do you currently have in your home?
NONE GO TO BQ5
1
2
3
OTHER [RECORD RESPONSE]
IN BQ2, USE “THINKING ABOUT THE BOOSTER CHAIR YOU USE MOST OFTEN” AND “IT”
IF BQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE BOOSTER CHAIR.”
2. {Thinking about the booster chair you use most often, how/How} often do you use {it/the
booster chair}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
3.
Have you used the booster chair{s} in the past?
YES GO TO BQUESTION 6
NO
4. Do you intend to use the booster chair{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a booster chair at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Please think about the booster chair you used most often.
IF BQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR BQ6.
6. How often did you use the booster chair? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
1
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Booster chair Module (B)
These next questions are about booster chairs.
IF BQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one booster chair,
think about the one you used most often.
IF NEEDED: A booster seat is a child’s chair, which is placed on an adult chair to elevate the
child to standard dining table height. It is normally used for feeding children.
7. Did you…
Purchase the booster chair,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
8. When you got the booster chair, was it new or secondhand?
NEW
SECOND-HAND
9. When did you get it?
[RECORD RESPONSE]
IF BQ2 OR BQ6 = EVERY DAY OR A FEW TIMES A WEEK AND BQ8=NEW GO TO
INSTRUCTIONS BEFORE BQ11
IF BQ4= YES AND BQ8 = NEW, GO TO NEXT PRODUCT
IF BQ8=SECOND-HAND, ASK BQ10
10. How old was the booster chair when you got it?
[RECORD RESPONSE]
IF BQ4=YES AND BQ8=SECOND-HAND, GO TO NEXT PRODUCT
11. Did {your child/ any of your children} ever get hurt while in the booster seat?
YES
NO GO TO INSTRUCTIONS BEFORE BQ16
IF ONLY ONE CHILD IN HOUSEHOLD GO TO BQ13
12. Which child got hurt?
RECORD RESPONSE AND USE AS FILL FOR BQ13-BQ15.
3
13. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
14. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE BQ16
15. Did you take {him/her} to a hospital emergency room?
YES
NO
IF BQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF BQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
16. What {will/did} you do with the booster chair when you {stop/stopped} using it?
{Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
17. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
4
Bedside Sleepers (BS)
Inventory Questions
IF NEEDED: A bedside sleeper is an infant bed that fits into or attaches to an adult bed. This
puts the child near the caregiver, alongside, fastened to, and at or below the top of the mattress
of the caregiver’s bed.
1. How many bedside sleepers do you currently have in your home?
NONE GO TO BSQ5
1
2
3
OTHER [RECORD RESPONSE]
IN BSQ2, USE “THINKING ABOUT THE BEDSIDE SLEEPER YOU USE MOST OFTEN” AND
“IT” IF BSQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE BEDSIDE SLEEPER.”
2. {Thinking about the bedside sleeper you use most often, how/How} often do you use
{it/the bedside sleeper}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF BSQ1 = MORE THAN ONE, USE PLURAL IN BSQ3 & BSQ4
3. Have you used the bedside sleeper{s} in the past?
YES GO TO BSQ6
NO
4. Do you intend to use the bedside sleeper{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a bedside sleeper at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
1
Please think about the bedside sleeper you used most often.
IF BSQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR BSQ6.
6. How often did you use the bedside sleeper? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Bedside Sleeper Module (BS)
These next questions are about bedside sleepers.
IF BSQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one bedside
sleeper, think about the one you used most often.
IF NEEDED: A bedside sleeper is an infant bed that fits into or attaches to an adult bed. This
puts the child near the caregiver, alongside, fastened to, and at or below the top of the mattress
of the caregiver’s bed.
P le a s e in c lu d e in yo u r a n s we rs a n y p la y ya rd s o r b a s s in e ts th a t c a n b e u s e d a s b e d s id e s le e p e rs .
IF BSQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF BSQ4= YES, USE PRESENT TENSE
IF BSQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. What {is/was} the name of the bedside sleeper? You can tell me all or part of the
product name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
8. Did you…
purchase the bedside sleeper,
receive it as a gift, or
borrow it?
OTHER [RECORD RESPONSE]
9. When you got the bedside sleeper, was it new or secondhand?
NEW
SECOND-HAND
10. When did you get it?
[RECORD RESPONSE]
IF BSQ9=NEW, GO TO INSTRUCTIONS BEFORE BSQ12
IF BSQ9=SECOND-HAND, ASK BSQ11
11. How old was the bedside sleeper when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND BSQ2= EVERY DAY OR A FEW TIMES A WEEK; ASK
BSQ12 THEN GO TO INSTRUCTIONS BEFORE BSQ14
IF MORE THAN ONE CHILD IN HH AND BSQ6= EVERY DAY OR A FEW TIMES A WEEK, ASK
3
BSQ13 THEN GO TO INSTRUCTIONS BEFORE BSQ14;
OTHERWISE GO TO INSTRUCTIONS BEFORE BSQ14
12. Which child uses the bedside sleeper most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
13. Which child used the bedside sleeper most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF BSQ4=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
14. When {will/did} you start using the bedside sleeper {with {CHILD}}? When {CHILD}
{is/was} …
IF NEEDED: Or you can describe what made you decide to start using the bedside
sleeper.
0 to 4 months old,
5 to 8 months old,
9 to 12 months old,
More than 12 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF BSQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
15. {Can/could} the bedside sleeper {be/have been} used as a bassinet?
IF NECESSARY CLARIFY NOT ATTACHED TO A BED WHEN USED AS A BASSINET
YES
NO
16. What {is/was} usually placed in the bedside sleeper under {CHILD} besides the
mattress? You can select more than one. {Is/was} there...
A pillow,
A blanket or quilt,
A mattress pad,
Something else, or [RECORD RESPONSE]
Nothing else?
17. {Are/were} there any additional items usually in the bedside sleeper with {CHILD}? You
can select more than one. {Is/was} there...
A pillow,
A blanket or quilt,
A mattress pad,
Something else, or [RECORD RESPONSE]
4
PACIFIER
RATTLE
TEETHER
SIPPY CUP
OTHER
Nothing else?
18. How long do you usually leave {CHILD} in the bedside sleeper when you are in another
room? Would you say…
Less than 1 minute,
1 to 5 minutes,
More than 5, but less than15 minutes,
15 minutes or more, or
Not at all?
19. Did the bedside sleeper ever break?
YES
NO GO TO BSQ24
20. Did you,
Fix it yourself,
Have someone else fix it,
Return the bedside sleeper, or
Throw away or recycle the bedside sleeper?
OTHER [RECORD RESPONSE]
IF BSQ20 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK BSQ21
IF BSQ20 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
BSQ21
OTHERWISE GO TO BSQ22
21. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
22. Did you report the problem to someone?
YES
NO GO TO BSQ24
23. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
5
Someone else?
LAWYER/LAW FIRM
OTHER
OTHER [RECORD RESPONSE]
24. Did {CHILD} ever get hurt while {he/she} was in the bedside sleeper?
YES
NO GO TO INSTRUCTIONS BEFORE BSQ28
25. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
26. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE BSQ28
27. Did you take {him/her} to a hospital emergency room?
YES
NO
IF BSQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF BSQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
28. When {will you/did you} stop using the bedside sleeper with {CHILD}? When {CHILD}
{is/was} …
IF NEEDED: Or you can describe what made you decide to stop using the bedside
sleeper.
0 to 12 months old,
13 to 18 months old,
More than 18 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
29. What {will/did} you do with the crib when you {stop/stopped} using it? {Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
6
CURRENT OWNERS GO TO NEXT PRODUCT
30. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
7
Bed Rails (BR)
Inventory Questions
IF NEEDED: A portable bed rail is a device intended to be installed on an adult bed to prevent
children from falling out of bed.
1. Thinking about the beds in your home that your {child/children} sleep in, how many
currently have bed rails?
NONE GO TO BRQ5
1
2
3
OTHER [RECORD RESPONSE]
IN BRQ2, USE “THINKING ABOUT…” AND “IT” IF BRQ1 IS 2 OR MORE. OTHERWISE USE
“HOW” AND “THE BED WITH BED RAILS”
2. {Thinking about the bed with bed rails that’s used most often, how/How} often does your
child sleep in {it/the bed with bed rails}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF BRQ1 = MORE THAN ONE, USE PLURAL IN BRQ3 & BRQ4
3. {Has/have} your {child/children} slept in beds with bed rail{s} in the past?
YES GO TO BRQ6
NO
4. Do you intend to use the bed rail{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. In your home, have you ever had a bed with bed rails that your {child sleeps/children
sleep} in?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
1
Please think about the bed rail{s} you used most often.
IF BRQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR BRQ6.
6. How often did your child sleep in the bed with the bed rail{s}? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Bed Rail Module (BR)
These next questions are about bed rails. Please do not include in your answers guard rails
used on toddler beds or convertible beds.
IF BRQ1 IS 2 OR MORE: Please think about the ones you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one set of bed rails,
think about the one you used most often.
IF NEEDED: A portable bed rail is a device intended to be installed on an adult bed to prevent
children from falling out of bed.
IF BRQ2= EVERY DAY OR A FEW TIMES A WEEK, USE PRESENT TENSE
IF BRQ4= YES, USE FUTURE TENSE FOR BRQ7 AND BRQ8 THEN USE PRESENT TENSE
IF BRQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
7. {Do/did/will} you use the bed rails on one side of the bed or both?
ONE SIDE
BOTH GO TO BRQUESTION 9
IF BRQ7=ONE SIDE, USE SINGULAR AND IS/WAS
8. What {is/was/will be} on the other side of the bed? {Is there /was there/will there be}…
Nothing,
A wall, or
Something else? [RECORD RESPONSE]
IF BRQ7=BOTH, USE PLURAL AND ARE/WERE
9. What {is/are/was/were} the name of the bed rail{s}? You can tell me all or part of the
product name or just describe what {it/they} {looks/they/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
10. Did you…
Purchase the bed rail{s},
Receive {it/them} as a gift, or
Borrow {it/them}?
OTHER [RECORD RESPONSE]
11. When you got the bed rail{s}, {was it/were they} new or secondhand?
NEW
SECOND-HAND
3
12. When did you get {it/them}?
[RECORD RESPONSE]
IF BRQ11=NEW, GO TO INSTRUCTIONS BEFORE BRQ14
IF BRQ11=SECOND-HAND, ASK BRQ13
13. How old {was/were} the bed rail{s} when you got {it/them}?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND BRQ2= EVERY DAY OR A FEW TIMES A WEEK; ASK
BRQ14 THEN GO TO INSTRUCTIONS BEFORE BRQ16;
IF MORE THAN ONE CHILD IN HH AND BRQ6= EVERY DAY OR A FEW TIMES A WEEK, ASK
BRQ15 THEN GO TO INSTRUCTIONS BEFORE BRQ16;
OTHERWISE GO TO INSTRUCTIONS BEFORE BRQ16
14. Which child uses the bed rail{s} most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
15. Which child used the bed rail{s} most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF BRQ4=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
16. When {will/did} you start using the bed rail{s} {with {CHILD}}? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to start using the bed rail{s}.
0 to 12 months old,
13 to 24 months,
25 months to 3 years old,
More than 3 years old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF BRQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
17. What size mattress {do/did} you use with the bed rail{s}? {Is/Was} it for a…
Toddler bed,
Twin bed,
Full or double bed,
Queen bed, or
For some other size? [RECORD RESPONSE]
KING
CALIFORNIA KING
18. {Does/Did} the mattress sit on…?
A box spring,
Slats,
4
A solid board, or
Something else? [RECORD RESPONSE]
FLOOR
OTHER
19. Did the bed rail{s} ever break?
YES
NO GO TO BRQUESTION 24
20. Did you,
Fix {it/them} yourself,
Have someone else fix {it/them}
Return the bed rail{s}, or
Throw away or recycle the bed rail{s}?
OTHER [RECORD RESPONSE]
IF BRQ20 = “FIX IT/THEM YOURSELF” OR “HAVE SOMEONE ELSE FIX IT/THEM”, ASK
BRQ21
IF BRQ20 = “HAVE SOMEONE ELSE FIX IT/THEM”, INCLUDE “BY THE MANUFACTURER
OR” IN BRQ21
OTHERWISE GO TO BRQ22
21. {Was it/Were they} fixed {by the manufacturer or} with manufacturer-supplied parts or
instructions?
YES
NO
22. Did you report the problem to someone?
YES
NO GO TO BRQ24
23. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else? OTHER [RECORD RESPONSE]
LAWYER/LAW FIRM
OTHER
24. Did {CHILD} ever get hurt because of the bedrail{s}?
YES
NO GO TO INSTRUCTIONS BEFORE BRQ28
5
25. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
26. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE BRQ28
27. Did you take {him/her} to a hospital emergency room?
YES
NO
IF BRQ2= EVERY DAY OR A FEW TIMES A WEEK, USE FUTURE TENSE
IF BRQ6= EVERY DAY OR A FEW TIMES A WEEK, USE PAST TENSE
28. When {will you/did you} stop using the bed rail{s} with {CHILD}? When {CHILD}
{is/was} … IF NEEDED: Or you can describe what made you decide to stop using the
bed rail{s}.
0 to 24 months old,
25 to 35 months old,
3 to 4 years old,
More than 4 years old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
29. What {will/did} you do with the bed rail{s} when you {stop/stopped} using {it/them}?
{Did/will} you…
Store {it/them}, GO TO NEXT PRODUCT
Sell {it/them},
Give {it/them}away,
Trash or recycle {it/them}, or
Do something else with {it/them}? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
30. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
6
Bath Seats (BA)
Inventory Questions
IF NEEDED: Infant bath seats are generally used in adult bath tubs to hold children in a seated
position while being bathed. They do not hold water.
HELP TEXT: There are three types of bathing products for infants.
•
•
•
Infant bath tubs that hold water and can be used by a child either lying down or sitting
up.
Infant bath seats that allow a child to be bathed sitting up and do not hold water.
Bathing aids that are seats or pads that allow a child to be bathed lying down and do not
hold water.
1. How many bath seats do you currently have in your home?
NONE GO TO BAQ5
1
2
3
OTHER [RECORD RESPONSE]
IN BAQ2, USE “THINKING ABOUT THE BATH SEAT YOU USE MOST OFTEN” AND “IT” IF
BAQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE BATH SEAT.”
2. {Thinking about the bath seat you use most often, how/How} often do you use {it/the the
bath seat}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or ELIGIBLE; GO TO INSTRUCTIONS BEFORE BAQ7
Never?
IF BAQ1 = MORE THAN ONE, USE PLURAL IN BAQ3 & BAQ4
3. Have you used the bath seat{s} in the past?
YES GO TO BAQUESTION 6
NO
4. Do you intend to use the bath seat{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO ELIGIBLE; GO TO INSTRUCTIONS BEFORE BAQ7
1
5. Have you ever had a bath seat in your home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
IF BAQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR BAQ6.
If you had more than one bath seat, think about the one you used most often.
6. How often did you use the bath seat? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or ELIGIBLE; GO TO INSTRUCTIONS BEFORE BAQ7
Never? ELIGIBLE; GO TO INSTRUCTIONS BEFORE BAQ7
IF BAQ2=A FEW TIMES A YEAR, USE “HARDLY EVER USE” AND “IS”
IF BAQ4=NO, USE “DON’T INTEND TO USE” AND “IS”
IF BAQ6=A FEW TIMES A YEAR, USE “HARDLY EVER USED” AND “WAS”
IF BAQ6=NEVER, USE “NEVER USED” AND “WAS”
7.
Please tell me why you {hardly ever use/ don’t intend to use/hardly ever used/never
used} the bath seat. You can select more than one reason. {Is/Was} it because …
It’s too difficult to use,
Your child didn’t like it,
You didn’t like it,
You didn’t think your child was safe, or
Was there some other reason? [RECORD RESPONSE]
2
Bath Seat Module (BA)
These next questions are about bath seats.
IF BAQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one bath seat think
about the one you used most often.
IF NEEDED: Infant bath seats are generally used in adult bath tubs to hold children in a seated
position while being bathed. They do not hold water.
IF BAQ2= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, USE PRESENT TENSE
IF BAQ4=YES OR NO, USE PRESENT TENSE
IF BAQ6= EVERY DAY, A FEW TIMES A WEEK, A FEW TIMES A YEAR, OR NEVER USE PAST
TENSE
8. What {is/was} the name of the bath seat? You can tell me all or part of the product
name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
9. How {does/did} your bath seat attach to the tub? Does it attach with…
Suction cups,
An arm clamp on the tub side,
Both, or
Some other way? [RECORD RESPONSE]
10. Did you…
Purchase the bath seat,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
11. When you got the bath seat, was it new or secondhand?
NEW
SECOND-HAND
12. When did you get it?
[RECORD RESPONSE]
IF BAQ11=NEW, GO TO INSTRUCTIONS BEFORE BAQ14
IF BAQ11=SECOND-HAND, ASK BAQ13
3
13. How old was the bath seat when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND BAQ2= EVERY DAY, A FEW TIMES A WEEK, OR A
FEW TIMES A YEAR, ASK BAQ14 THEN GO TO INSTRUCTIONS BEFORE BAQ16;
IF MORE THAN ONE CHILD IN HH AND BAQ6= EVERY DAY, A FEW TIMES A WEEK, OR A
FEW TIMES A YEAR, ASK BAQ15 THEN GO TO INSTRUCTIONS BEFORE BAQ16;
IFBAQ4=NO OR BAQ6=NEVER, GO TO INSTRUCTIONS BEFORE BAQ31
OTHERWISE GO TO INSTRUCTIONS BEFORE BAQ16
14. Which child uses the bath seat most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
15. Which child used the bath seat most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF BAQ4=YES, USE “WILL,
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
16. When {will/did} you start using the bath seat {with {CHILD}}? When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to start using the bath seat.
0 to 4 months old,
5 to 8 months old,
9 to 12 months old,
More than 12 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF BAQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
17. About how much water would you say {is/was} usually in the tub when you {are/were}
bathing {CHILD} in the bath seat? Would you say…
Enough to cover some, but not all, of {child}’s legs,
Enough to cover {child}’s bottom,
Enough to reach {child}’s belly button,
Enough to reach {child}’s chest, or
Enough to reach {child}’s shoulders?
18. How often {do/did} you use the bath seat? Would you say for…
Some baths,
Most baths, or
Every bath?
4
19. How long {is/was} {CHILD} usually in the bath seat during bath time? Would you say…
(NOTE FOR INTERVIEWER: THIS INCLUDES BATHING AND PLAY)
Less than 15 minutes,
15 to 30 minutes, or
More than 30 minutes?
20. What {is/was} the longest you {feel/felt} comfortable leaving {CHILD} in the bath seat
while you {go/went} to another room for something? Would you say…
Less than 1 minute,
1 to 5 minutes,
More than 5 minutes, but less than 15 minutes,
15 minutes or more, or
Not at all?
21. Did the bath seat ever break?
YES
NO GO TO BAQ 26
22. Did you,
Fix it yourself,
Have someone else fix it,
Return the bath seat, or
Throw away or recycle the bath seat?
OTHER [RECORD RESPONSE]
IF BAQ22 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK BAQ23
IF BAQ22 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
BAQ23
OTHERWISE GO TO BAQ24
23. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
24. Did you report the problem to someone?
YES
NO GO TO BAQ26
25. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else? OTHER [RECORD RESPONSE]
LAWYER/LAW FIRM
5
OTHER
26. Did {CHILD} ever get hurt while {he/she} was in the bath seat?
YES
NO GO TO INSTRUCTIONS BEFORE BAQ30
27. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
28. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE BAQ30
29. Did you take {him/her} to a hospital emergency room?
YES
NO
IF BAQ2= EVERY DAY OR A FEW TIMES A WEEK. A FEW TIMES A YEAR, USE FUTURE
TENSE
IF BAQ6= EVERY DAY OR A FEW TIMES A WEEK, A FEW TIMES A YEAR, USE PAST TENSE
30. When {will you/did you} stop using the bath seat with {CHILD}? When {CHILD} {is/was}
…
IF NEEDED: Or you can describe what made you decide to stop using the bath seat..
0 to 12 months old,
13 to 18 months,
19 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF BAQ2= EVERY DAY, A FEW TIMES A WEEK, OR A FEW TIMES A YEAR, US E “WILL”
AND “WHEN YOU S TOP US ING IT”
IF BAQ4=NO, US E “WILL”
IF BAQ6= EVERY DAY, A FEW TIMES A WEEK OR A FEW TIMES A YEAR, US E “DID”
AND “WHEN YOU S TOP P ED US ING IT”
IF BAQ6=NEVER, US E “DID”
31. What {will/did} you do with the bath seat {when you stop[ped] using it }? {Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
6
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
32. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
7
Bassinet/Cradles (BC)
Bassinet/Cradle Inventory Questions
IF NEEDED: A bassinet/cradle is a small bed for infants supported by free standing legs, a
wheeled base, or a rocking base. Infant hammocks are supported from overhead and rock and
sway naturally. Please include in your answers any bassinets or cradles that are attached to
other products as well as products that can be converted to a bassinet or cradle.
1. How many bassinets, cradles, or infant hammocks do you currently have in your home?
NONE GO TO BCQ 5
1
2
3
OTHER [RECORD RESPONSE]
IN BCQ2, USE “THINKING ABOUT THE BASSINET, CRADLE, OR INFANT HAMMOCK YOU
USE MOST OFTEN” AND “IT” IF BCQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND
“THE BASSINET, CRADLE, OR INFANT HAMMOCK.”
2. {Thinking about the bassinet, cradle, or infant hammock you use most often, how/How}
often do you use {it/the bassinet, cradle, or infant hammock}? Would you say…
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never?
IF BCQ1 = MORE THAN ONE, USE PLURAL IN BCQ3 & BCQ4
3. Have you used the bassinet{s}, cradle{s}, or infant hammock{s} in the past?
YES GO TO BCQ 6
NO
4. Do you intend to use the bassinet{s}, cradle{s}, or infant hammock{s} in the future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
5. Have you ever had a bassinet, cradle, or infant hammock at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
1
IF BCQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR BCQ6.
If you had more than one bassinet, cradle, or infant hammock, think about the one you used
most often.
6. How often did you use the bassinet, cradle, or infant hammock? Would you say …
Every day, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a week, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a month, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, or INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Never? INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
2
Bassinet/Cradles Module (BC)
These next questions are about bassinets, cradles or infant hammocks. Please include in your
answers any bassinets or cradles that are attached to other products as well as products that
can be converted to a bassinet or cradle.
IF BCQ1 IS 2 OR MORE: Please think about the bassinet, cradle or infant hammock you use most
often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one bassinet,
cradle, or infant hammock, think about the one you used most often.
IF NEEDED: A bassinet/cradle is a small bed for infants supported by free standing legs, a
wheeled base, or a rocking base. Infant hammocks are supported from overhead and rock and
sway naturally.
IF BCQ2= ”EVERY DAY” OR “A FEW TIMES A WEEK”, USE PRESENT TENSE
IF BCQ4= YES, USE PRESENT TENSE
IF BCQ6=”EVERY DAY” OR “A FEW TIMES A WEEK”, USE PAST TENSE
7. {Is/was} the product you {use/used} most…
A bassinet, USE “BASSINET” FOR {BASSINET/CRADLE/INFANT HAMMOCK}
A cradle, or USE “CRADLE” FOR {BASSINET/CRADLE/INFANT HAMMOCK}
An infant hammock? USE “HAMMOCK” FOR {BASSINET/CRADLE/INFANT
HAMMOCK}
DON’T KNOW USE “BASSINET, CRADLE, OR INFANT HAMMOCK” FOR
{BASSINET/CRADL/EINFANT HAMMOCK}
8. What {is/was} the name of the {bassinet/cradle/infant hammock}? You can tell me all or
part of the product name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
9. {Is/was} the {bassinet/cradle/infant hammock} stand-alone or {does/did} it attach to
another product?
STAND ALONE GO TO BCQ11
ATTACHES
10. What {does/did} the {bassinet/cradle/infant hammock} attach to?
A play yard,
A stroller,
A bedside sleeper, or
Something else? [RECORD RESPONSE]
3
11. Did you…
Purchase the {bassinet/cradle/infant hammock},
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
12. When you got the {bassinet/cradle/infant hammock}, was it new or secondhand?
NEW
SECOND-HAND
13. When did you get it?
[RECORD RESPONSE]
IF BCQ12=NEW, GO TO INSTRUCTIONS BEFORE BCQ15
IF BCQ12=SECOND-HAND, ASK BCQ14
14. How old was the {bassinet/cradle/infant hammock} when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND BCQ2=”EVERY DAY” OR “A FEW TIMES A WEEK”;
ASK BCQ15 THEN GO TO INSTRUCTIONS BEFORE BCQ17
IF MORE THAN ONE CHILD IN HH AND BCQ6=”EVERY DAY” OR “A FEW TIMES A WEEK”,
ASK BCQ16 THEN GO TO INSTRUCTIONS BEFORE BCQ17;
OTHERWISE GO TO INSTRUCTIONS BEFORE BCQ17
15. Which child uses the {bassinet/cradle/infant hammock} most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
16. Which child used the {bassinet/cradle/infant hammock} most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IF BCQ4=YES, USE “WILL” IN BCQ17
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
17. When {will/did} you start using the {bassinet/cradle/infant hammock} {with {CHILD}?
When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to start using the
{bassinet/cradle}.
0 to 4 months old,
5 to 8 months old,
9 to 12 months old,
More than 12 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF BCQ4=YES, GO TO NEXT PRODUCT
4
18. Why {do/did} you use the {bassinet/cradle/infant hammock} with {child}? You can select
more than one reason. Would you say…
To put your child to sleep,
To entertain your child,
To allow you to do chores,
To allow you to sleep, or
For some other reason? [RECORD RESPONSE]
KEEP CHILD SAFE
CALM CRYING CHILD
KEEP CHILD FROM BEING UNDERFOOT
OTHER
19. {Do/Did} you use the {bassinet/cradle/infant hammock} …
Several times a day,
Once a day,
A few times a week, or
Once a week or less?
20. How often {does/did} {CHILD} sleep in the {bassinet/cradle/infant hammock}. Would you
say...
Several times a day,
Once a day,
A few times a week,
Once a week or less, or
Never?
21. When {CHILD} is awake, how long {is/was} {he/she} usually in the
{bassinet/cradle/infant hammock}? Would you say…
Less than 30 minutes,
30 minutes to an 1 hour, or
More than 1 hour?
22. What {is/was} usually placed in the {bassinet/cradle/infant hammock} under {CHILD}
besides the mattress? You can select more than one item. Would you say…
A pillow,
A blanket or quilt,
A mattress pad,
Something else, or [RECORD RESPONSE]
Nothing else?
23. What additional items {are/were} usually in the {bassinet/cradle/infant hammock} with
{CHILD}? You can select more than one item. Would you say…
A pillow,
5
A blanket or quilt,
A mattress pad,
A toy,
A bottle or sippy cup,
Something else, or [RECORD RESPONSE]
PACIFIER
RATTLE
TEETHER
OTHER
Nothing else?
24. Did the {bassinet/cradle/infant hammock} ever break?
YES
NO GO TO BCQUESTION 29
25. Did you,
Fix it yourself,
Have someone else fix it,
Return the {bassinet/cradle/infant hammock}, or
Throw away or recycle the {bassinet/cradle/infant hammock}?
OTHER [RECORD RESPONSE]
IF BCQ25 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK BCQ26
IF BCQ25 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
BCQ26
OTHERWISE GO TO BCQ27
26. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
27. Did you report the problem to someone?
YES
NO GO TO BCQUESTION 29
6
28. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else? OTHER [RECORD RESPONSE]
LAWYER/LAW FIRM
OTHER
29. Did {CHILD} ever get hurt while {he/she} was in the {bassinet/cradle/infant hammock}?
YES
NO GO TO INSTRUCTIONS BEFORE BCQUESTION 33
30. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
31. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE BCQUESTION 33
32. Did you take {him/her} to a hospital emergency room?
YES
NO
IF BCQ2=”EVERY DAY” OR “A FEW TIMES A WEEK”, USE FUTURE TENSE
IF BCQ6=”EVERY DAY” OR “A FEW TIMES A WEEK”, USE PAST TENSE
33. When {will you/did you} stop using the {bassinet/cradle/infant hammock} with {CHILD}?
When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to stop using the
{bassinet/cradle}.
0 to 12 months old,
13 to 18 months old,
More than 18 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
7
34. What {will you/did you} do with the {bassinet/cradle/infant hammock} when you
{stop/stopped} using it? {Did/will} you…
Store it, GO TO BCQ36
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it? [RECORD RESPONSE]
TRADED IN
OTHER
CURRENT USERS (EXCEPT STORERS) GO TO NEXT PRODUCT
35. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
36. {Will/Did} you take the {bassinet/cradle/infant hammock} apart to store it?
YES
NO
GO TO NEXT PRODUCT
8
Backpack Carriers with Rigid Frames
(BP)
Inventory Questions
IF NEEDED: A backpack carrier is normally made of sewn fabric on a tubular metal or other
frame. It is designed to carry a child, in an upright position, on the back of the caregiver. The
seated position of the child is either facing towards or away from the caregiver.
1. How many backpack carriers with rigid frames do you currently have in your home?
NONE GO TO BPQ5
1
2
3
OTHER [RECORD RESPONSE]
IN BPQ2, USE “THINKING ABOUT THE BACKPACK CARRIER WITH A RIGID FRAME YOU
USE MOST OFTEN” AND “IT” IF BPQ1 IS 2 OR MORE. OTHERWISE USE “HOW” AND “THE
BACKPACK CARRIER WITH A RIGID FRAME.”
2. {Thinking about the backpack carrier with a rigid frame you use most often, how/How}
often do you use {it/the the backpack carrier with a rigid frame}? Would you say…
A few times a month, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year, ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Once a year, INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Less than once a year, or ELIGIBLE; GO TO INSTRUCTIONS BEFORE BPQ7
Never?
IF BPQ1 = MORE THAN ONE, USE PLURAL IN BPQ3 & BPQ4
3. Have you used the backpack carrier{s} with {a rigid frame/rigid frames} in the past?
YES GO TO BPQ6
NO
4. Do you intend to use the backpack carrier{s} with {a rigid frame/rigid frames} in the
future?
YES ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
NO ELIGIBLE; GO TO INSTRUCTIONS BEFORE BPQ7
5. Have you ever had a backpack carrier with a rigid frame at home?
YES
NO INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
1
Please think about the backpack carrier with a rigid frame you used most often.
IF BPQ3=YES, THEN DO NOT INCLUDE “NEVER” IN RESPONSE OPTIONS FOR BPQ6.
6. How often did you use the backpack carrier with a rigid frame? Would you say …
A few times a month ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
A few times a year ELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Once a year INELIGIBLE; GO TO NEXT PRODUCT IN INVENTORY
Less than once a year ELIGIBLE; GO TO INSTRUCTIONS BEFORE BPQ7
Never ELIGIBLE; GO TO INSTRUCTIONS BEFORE BPQ7
IF
IF
IF
IF
7.
BPQ2=LES S THAN ONCE A YEAR, US E “HARDLY EVER US E” AND “IS ”
BPQ4=NO, US E “DON’T INTEND TO US E” AND “IS ”
BPQ6= LES S THAN ONCE A YEAR, US E “HARDLY EVER US ED” AND “WAS ”
BPQ6=NEVER, US E “NEVER US ED” AND “WAS ”
Please tell me why you {hardly ever use/ don’t intend to use/hardly ever used/never
used} the backpack carrier with a rigid frame. You can select more than one reason.
{Is/Was} it because…
It’s too difficult to use,
Your child didn’t like it,
You didn’t like it,
You didn’t think your child was safe, or
Some other reason? [RECORD RESPONSE]
2
Backpack Carrier with a Rigid Frame Module (BP)
These next questions are about backpack carriers with a rigid frame.
IF BPQ1 IS 2 OR MORE: Please think about the one you use most often.
FOR PAST USERS WHO NO LONGER HAVE PRODUCT: If you had more than one backpack
carrier with a rigid frame, think about the one you used most often.
IF NEEDED: A backpack carrier is normally made of sewn fabric on a tubular metal or other
frame. It is designed to carry a child, in an upright position, on the back of the caregiver. The
seated position of the child is either facing towards or away from the caregiver.
IF BPQ2= A FEW TIMES A MONTH, A FEW TIMES A YEAR, OR LESS THAN ONCE A YEAR, USE
PRESENT TENSE
IF BPQ4=YES OR NO, USE PRESENT TENSE
IF BPQ6= A FEW TIMES A MONTH, A FEW TIMES A YEAR, OR LESS THAN ONCE A YEAR, OR
NEVER USE PAST TENSE
8. What {is/was} the name of the backpack carrier with a rigid frame? You can tell me all
or part of the product name or just describe what it {looks/looked} like.
IF NEEDED: Or you can describe some unique or special feature of it.
[RECORD RESPONSE]
9. Did you…
Purchase the backpack carrier with a rigid frame,
Receive it as a gift, or
Borrow it?
OTHER [RECORD RESPONSE]
10. When you got the backpack carrier with a rigid frame, was it new or secondhand?
NEW
SECOND-HAND
11. When did you get it?
[RECORD RESPONSE]
IF BPQ9=NEW, GO TO INSTRUCTIONS BEFORE BPQ13
IF BPQ9=SECOND-HAND, ASK BPQ12
12. How old was the backpack carrier with a rigid frame when you got it?
[RECORD RESPONSE]
IF MORE THAN ONE CHILD IN HH AND BPQ2= A FEW TIMES A MONTH, A FEW TIMES A
YEAR, OR LES S THAN ONCE A YEAR, ASK BPQ13 THEN GO TO INSTRUCTIONS BEFORE
BPQ15;
3
IF MORE THAN ONE CHILD IN HH AND BPQ6= A FEW TIMES A MONTH, A FEW TIMES A
YEAR, OR LES S THAN ONCE A YEAR, ASK BPQ14 THEN GO TO INSTRUCTIONS BEFORE
BPQ15;
IF BPQ3=NO OR BPQ6=NEVER, GO TO BPQ30
OTHERWISE GO TO INSTRUCTIONS BEFORE BPQ15
13. With which child do you use the backpack carrier with a rigid frame most often?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
14. With which child did you use the backpack carrier with a rigid frame most recently?
SELECT FROM ROSTER OF CHILDREN AS GIVEN
IFBPQ4=YES, USE “WILL”
OTHERWISE USE “DID” AND FILL “WITH {CHILD}”
15. When {will/did} you start using the backpack carrier with a rigid frame {with {CHILD}}?
When {CHILD} {is/was} …
IF NEEDED: Or you can describe what made you decide to start using the backpack
carrier with rigid frame.
0 to 6 months old,
7 to 12 months old,
13 to 24 months old,
More than 24 months old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF BPQ4=YES, GO TO NEXT PRODUCT
OTHERWISE CONTINUE
IF BPQ2 OR BPQ6 = A FEW TIMES A MONTH, ASK BPQ16 THEN GO TO BPQ18
IF BPQ2 OR BPQ6 = A FEW TIMES A YEAR, ASK BPQ17 THEN GO TO BPQ18
16. How often {do/did} you use the backpack carrier with a rigid frame? Would you say…
Every day,
A few times a week,
Once a week, or
Every couple of weeks?
17. How often {do/did} you use the backpack carrier with a rigid frame? Would you say…
Every month,
Every couple of months, or
Every 6 months?
18. How long {do/did} you usually carry {CHILD} in the backpack carrier with a rigid frame?
Would you say…
Less than 30 minutes,
30 minutes to 1 hour, or
More than 1 hour?
4
19. What {is/was} the longest you {carry/carried} {CHILD} in the backpack carrier with a
rigid frame? Would you say…
Less than 30 minutes,
30 minutes to 1 hour,
More than1 hour, but less than 2 hours, or
More than 2 hours?
20. Did the backpack carrier with a rigid frame ever break?
YES
NO GO TO BPQ25
21. Did you,
Fix it yourself,
Have someone else fix it,
Return the backpack carrier with a rigid frame, or
Throw away or recycle the backpack carrier with a rigid frame?
OTHER [RECORD RESPONSE]
IF BPQ21 = “FIX IT YOURSELF” OR “HAVE SOMEONE ELSE FIX IT”, ASK BPQ22
IF BPQ21 = “HAVE SOMEONE ELSE FIX IT”, INCLUDE “BY THE MANUFACTURER OR” IN
BPQ22
OTHERWISE GO TO BPQ23
22. Was it fixed {by the manufacturer or} with manufacturer-supplied parts or instructions?
YES
NO
23. Did you report the problem to someone?
YES
NO GO TO BPQ25
24. Who did you report the problem to? You can select more than one. Did you report it
to…
The manufacturer,
The retailer,
The Consumer Product Safety Commission,
A news outlet, or
Someone else?
LAWYER/LAW FIRM
OTHER
25. Did {CHILD} ever get hurt while {he/she} was in the backpack carrier with a rigid frame?
YES
NO GO TO INSTRUCTIONS BEFORE BPQ29
5
26. How old was {CHILD} when {he/she} got hurt?
[RECORD RESPONSE]
27. Did {he/she} need medical care?
YES
NO GO TO INSTRUCTIONS BEFORE BPQ29
28. Did you take {him/her} to a hospital emergency room?
YES
NO
IF BPQ2= A FEW TIMES A MONTH, A FEW TIMES A YEAR, OR LESS THAN ONCE A YEAR,
USE FUTURE TENSE
IF BPQ6= A FEW TIMES A MONTH, A FEW TIMES A YEAR, OR LESS THAN ONCE A YEAR,
USE PAST TENSE
29. When {will you/did you} stop using the backpack carrier with a rigid frame with
{CHILD}? When {CHILD} {is/was} … IF NEEDED: Or you can describe what made you
decide to stop using the backpack carrier with rigid frame.
0 to 12 months old,
13 to 24 months old,
25 months to 3 years old,
More than 3 years old, or
Some other age? [RECORD RESPONSE]
RECORD DESCRIPTIVE RESPONSE
IF BPQ2= A FEW TIMES A MONTH, A FEW TIMES A YEAR, OR LES S THAN ONCE A YEAR,
US E “WILL” AND “WHEN YOU S TOP US ING IT”
IF BPQ4= NO, US E “WILL”
IF BPQ6= A FEW TIMES A MONTH, A FEW TIMES A YEAR, OR LES S THAN ONCE A YEAR,
US E “DID” AND “WHEN YOU S TOP P ED US ING IT”
IF BPQ6= NEVER, US E “DID”
30. What {will /did} you do with the backpack carrier with a rigid frame {when you
{stop[ped]} using it}? {Did/will} you…
Store it, GO TO NEXT PRODUCT
Sell it,
Give it away,
Trash or recycle it, or
Do something else with it?
TRADED IN
OTHER
CURRENT OWNERS GO TO NEXT PRODUCT
6
31. And when did you do that?
[RECORD RESPONSE]
GO TO NEXT PRODUCT
7
Concluding Questions (CN)
1. Are you of Hispanic, Latino, or Spanish origin?
Yes
No
2. What is your race? You can select more than one. Are you…
Black or African American,
White,
American Indian or Alaska Native,
Asian, or
Native Hawaiian or Other Pacific Islander?
OTHER (SPECIFY)
DON’T KNOW
3. What is your household income?
Less than $25,000
$25,000 - $35,000
$35,001 - $55,000
$55,001 - $75,000
More than $75,000
SELECT YOUNGEST CHILD
IF CHILD > 1 YEAR USE PAST TENSE. IF CHILD < 1 YEAR, USE PRESENT TENSE.
4. Up until {CHILD} was one year old, how often {do/did} you sleep in the same bed with
{him/her}? Would you say…
Never,
Rarely,
Once a week,
2 to 6 times a week, or
Every night?
IF CNQ4 = NEVER, GO TO CNQ6.
OTHERWISE, ASK CNQ5.
5. I’m going to read a list of reasons why some people sleep in the same bed with their
children. Please tell me which are your reasons, too. You may select more than one.
It’s a family or cultural tradition,
My child won’t sleep or won’t stop crying otherwise,
It helps me bond with myyour child,
I’m not comfortable being separated from my child, or
Is there some other reason you’d like to share with me? [RECORD RESPONSE]
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6. How do you hear about children’s product recalls? You can select more than one. Do
you hear from…
Retailers,
Manufacturers,
The news,
Someone else OTHER [RECORD RESPONSE], or
WEBSITE
MAILING LIST
FRIENDS OR FAMILY
OTHER ___________________
Don’t you hear about children’s product recalls?
7. Were any of your children under the age of 6 born prematurely?
YES
NO GO TO CNQ9
8. Which children?
[SELECT FROM ROSTER OF CHILDREN AS GIVEN]
9. Do any of your children under the age of 6 have a chronic health condition or disability?
YES
NO GO TO END
10. Which children?
[SELECT FROM ROSTER OF CHILDREN AS GIVEN]
11. FOR EACH CHILD INDICATED IN CNQ9, What is {CHILD}’s condition or conditions?
PROVIDE WEB SITE WHERE RESPONDENTS CAN PROVIDE FEEDBACK ON SURVEY
AND CPSC
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File Type | application/pdf |
Author | Jocelyn Newsome |
File Modified | 2012-06-05 |
File Created | 2011-04-13 |