WIC Participant

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APPENDIX M.1
WIC ITFPS-2 Participant Interview
7 Month - ENGLISH

SOCIODEMOGRAPHICS AND BACKGROUND

Respondent still Caregiver? 
1, 3, 5, 7, 9, 11, 13, 15, 18, 24

SD12.	(1 mo.: Before we go any further/ All other: Before we begin today), I need to ask whether you are still {CHILD's} caregiver. [Source: New Development]
Yes	01
No	02
(If no, go to a)
a.	Does {CHILD} still live with you?
Yes	01
No	02
b.	(If a is Yes): Can you please tell me who in your household is now {CHILD's} caregiver? Can I speak with that person?
Name of New Caregiver______________________________________________
c.	(If a is No): Can you please tell me who is caring for {CHILD} now, and how I could reach that person?
Name of New Caregiver______________________________________________
Phone of New Caregiver______________________________________________
Address of New Caregiver____________________________________________
Relation of New Caregiver to Child_____________________________________
Currently pregnant/due date
7, 13, 18

I’m going to start by asking you some questions about yourself and your household.

SD16.	Are you currently pregnant? [Source: New Development]
Yes	01
No	02
Don’t know	98
Refused	99
SD17.	(If yes) When is your baby due? [Source: FDA IFPS-2]
Month	[January – Dec.]
Day	[1-31]
{Year – autofill for next occurrence of the month}
Household size
Enrollment, 7, 13, 24

SD18.	How many people live in your household? By household I mean people who live together and share living expenses. Please include yourself in this count, and (If PN enrollment: please add 1 to the total for your pregnancy, too/If postnatal enrollment or 7, 13, or 24 months: If you are pregnant right now please add 1 to the total for your pregnancy. [Source: FITS 2002, modified]
Number of people in household	[number]
Household income
Enrollment, 7, 13, 24

SD19.	During [PREVIOUS MONTH], what was your household income before taxes? Please include any income in the past month from you, your family members who live with you, and any other people who live with you and share living expenses with you [Source: WIC IFPS-1, modified]
$500 or less	01
$501-$1000	02
$1001-$1500	03
$1501-$2000	04
$2001-$2500	05
$2501-$3000	06
$3001-$3500	07
$3501-$4000	08
$4001-$4500	09
$4501-$5000	10
$5001+	11
Don’t know	98
Refused	99

Household food insecurity
7, 13

SD22.	Now I’m going to read you several statements that people have made about their food situation. For each of these statements, please tell me whether this was often true, sometimes true, or never true for your household in the last 12 months—that is, since last (name of current month). [Source: USDA Food Security Module subscale; Hager et al., 2010; Nord et al., 2009]
a.	"We worried whether our food would run out before we got money to buy more.” Was that often true, sometimes true, or never true for your household in the last 12 months?
Often true	01
Sometimes true	02
Never true	03
Don't know	98
Refused	99
b.	"The food that we bought just didn’t last, and we didn’t have money to get  more.”  Was that often, sometimes, or never true for your household in the last 12 months?
Often true	01
Sometimes true	02
Never true	03
Don't know	98
Refused	99
Continuation/discontinuation of WIC participation (timing, reasons, location)
1, 3, 5, 7, 9, 11, 13, 15, 18, 24

Next I’d like to ask you some questions about WIC.

SD31.	Are you currently getting WIC food or checks for yourself or {CHILD}? [Source: FDA IFPS-2; modified]
Yes	01
No	02
(if no for the first time go to SD34, if no previously go to next applicable module)
SD32.	The last time we talked with you, you were going to WIC at [fill in location]. Do you still go there, or do you go to a new location? [Source: FDA IFPS-2 modified]
Yes, still that location	01
No, new location	02
SD33.	(If SD32 is no) Please tell me where you go now
Record location _______________________________________
Ask SD34 and SD35 only if SD31 is 'no'
SD34.	How old was {CHILD} when you stopped going to WIC? [Source: LA WIC Survey; modified]
Age	[weeks/months]
SD35.	I'm going to read some reasons why you might have stopped going to WIC. Please tell me if each one is a reason you stopped going to WIC: [Source: LA WIC Survey; modified]
You no longer qualify for WIC	01
It was inconvenient for you	02
You no longer need WIC	03
Other reason (record response)	04
WIC PROGRAM AWARENESS, SATISFACTION, UTILIZATION

Administer WIC module only if respondent indicated in SD31 that they are still on WIC

Utilization: Extended benefits for breastfeeding mothers
7

Don’t ask if mother currently pregnant again (SD16)
WC14.	(Don’t ask if mother currently pregnant again) Your baby is now receiving baby foods and infant cereal from WIC. Are you still receiving WIC foods for YOURSELF? [Source: New Development]
Yes	01
No	02
Don’t Know	98
a.	(If yes) Last month, did you purchase all of the WIC foods for which you were issued checks or EBT benefits for yourself and {CHILD}? [Source: New Development]
Yes	01
No	02
Don’t Know	98
Utilization: Information on initiation of supplemental foods
7

WC15.	Have you received any information from WIC about when to start giving solid foods to {CHILD}? [Source: IFPS-1, modified} 
Yes	01
No	02
Don’t Know	98
CURRENT FEEDING PRACTICES

	
AMPM Module (Asking child’s food intake in past 24 hours)
	

24-HR Recall for Food Intake
1, 3, 5, 7, 9, 11, 13, 15, 18, 24

Nutrition intake
Number of breastmilk/formula feedings per day
Type of formula used
Adherence to formula dilution instructions
Use/timing of supplemental formula for breastfeeding mothers
Addition of anything other than human milk/formula to child’s bottle
Specific food item intake
Use of jarred baby foods
Meal and snack pattern
Eating locations (eating on the go)
Use of dietary supplements for infants (direct administration)

Now I’m going to ask you some questions about things you might be doing to feed your baby.
Current feeding choice
1, 3, 5, 7, 9, 11, 13

CF1.	Are you currently feeding {CHILD} breastmilk either from your breast or from a bottle, formula, (1-5 months: or both) (7-13 months: both, or neither)?  [Source: New Development]
Only breastmilk	01
Only formula	02
Both breastmilk and formula	03
Neither breastmilk nor formula	04

IF CF1 = 02, SKIP TO CF19
IF CF1 = 04, AND CF30 NOT ADMINISTERED AT A PREVIOUS INTERVIEW, GO TO CF30.
IF CF1 = 04, AND CF30 ADMINISTERED AT A PREVIOUS INTERVIEW, GO TO CF34.

Breastfeeding Module (Asked only if mother currently feeding breastmilk, based on CF1)
Questions CF6 – CF18
	

Use of breast pump
1, 3, 5, 7, 9, 11, 13
You said that you are currently feeding {CHILD} breastmilk. I’d like to ask you some questions about that now.
CF6.	Some mothers are able to pump breastmilk and others are not. Are you currently pumping breastmilk?
Interviewer: code yes if mother is pumping at all, even if infrequently.
Yes	01
No	02
Refused	99
If CF6 is NO, skip to CF18
Time of day of pumping
1, 3, 5, 7, 9, 11, 13

Ask only if currently pumping breastmilk in CF6

CF12.	Now I’d like to ask you about the times of day when you usually pump. [Source: New Development]
a.	When you pump, how often do you pump in the morning, before noon? Would you say usually, sometimes, or never?
Usually	01
Sometimes	02
Never	03
Don’t know	98
Refused	99
b.	When you pump, how often do you pump mid-day, from noon to 5pm? Would you say usually, sometimes, or never?
Usually	01
Sometimes	02
Never	03
Don’t know	98
Refused	99
c.	When you pump, how often to you pump in the evening or night time, after 5pm? Would you say usually, sometimes, or never?
Usually	01
Sometimes	02
Never	03
Don’t know	98
Refused	99
Frequency of pumping
1, 3, 5, 7, 9, 11, 13

Ask only if currently pumping breastmilk in CF6

CF11.	Thinking about the past two weeks, how many times did you pump milk? (Interviewer allow open-ended, calculate numbers for response if needed, and confirm with respondent)[Source: FDA IFPS-2, modified]
Times pumped	[times]

Reasons for pumping
1, 3, 5, 7

Ask only if currently pumping breastmilk in CF6

CF15.	I’m going to read you some reasons why you might have pumped breastmilk in the past month. For each one, tell me if this was a reason you pumped breastmilk. (CATI to randomize order of sub-items) [Source: FDA IFPS-2, modified]
a.	To relieve engorgement or swelling
Yes	01
No	02
b.	To keep your milk supply up when your baby could not nurse (such as while you were away from your baby or when your baby was too sick to nurse)
Yes	01
No	02
c.	To mix with cereal or other food
Yes	01
No	02
d.	To increase your milk supply
Yes	01
No	02
e.	To have an emergency supply of milk
Yes	01
No	02
f.	To get milk so that someone else can feed your baby 
Yes	01
No	02
g.	Any other reason you have pumped breastmilk in the past month?
Yes (specify_________________________________)	01
No	02
Storage practices for pumped/expressed human milk
1, 3, 5, 7, 9, 11, 13

Ask only if currently pumping breastmilk in CF6

CF16.	In the last month, how long was your pumped milk usually stored in the refrigerator? [Source: FDA IFPS-2, modified]
I do not store milk in a refrigerator	01
1 day or less	02
2 to 3 days	03
4 to 5 days	04
6 to 8 days 	05
More than 8 days	06

CF17.	How long is your frozen milk usually stored? [Source: FDA IFPS-2]
Only include 4 months or more after the 5 month interview
I do not freeze my milk	01
Less than 1 week	02
1 to 4 weeks 	03
1 to 3 months 	04
4 months or more	05
How is breastmilk feeding schedule determined (time schedule, child seems hungry, mixed)
1, 3, 5, 7, 9, 11, 13

CF18.	Do you breastfeed or feed {CHILD} breastmilk from a bottle on a regular schedule, or when [HE/SHE] cries or seems hungry? [Source: IFPS-1, modified]
Schedule	01
Cries or seems hungry	02
Both on a schedule and when baby cries or seems hungry	03

IF CF1 = 01 SKIP TO CF52
	
Formula Feeding Module (Asked only if mother currently formula feeding)
Questions CF19 – CF27
	
You said that you are currently feeding {CHILD} formula. I’d like to ask you some questions about that.
Who provided formula
1, 3, 5, 7, 9, 11, 13

CF19.	Where do you get the formula that you use to feed {CHILD}? Do you get it from WIC, from somewhere else, or both WIC and somewhere else? [Source: New Development]
WIC	01
Somewhere else	02
Both WIC and somewhere else	03

CF20.	(If indicated in CF19 getting formula from WIC) Is the amount of formula that you get from WIC to help feed {CHILD} more than you usually need, less than you usually need, or about right? [Source: PHFE WIC Survey 2010, modified]
More 	01
Less 	02
About right	03
Don’t know	98
Refused	99

Reasons for formula use
1, 3, 5, 7, 9, 11, 13 (ask for the last time at the interview where mom indicates she has completely stopped breastfeeding)

CF21.	There are many reasons for using formula. Please tell me if any of the following are reasons why you feed your baby formula? [Source: FDA IFPS-2, modified]
If not currently breastfeeding at all (CF1) and never tried to breastfeed (HF10, CF29), skip to h.

Ask (a) only in months 1, 3, 5
a.	My baby had trouble sucking or latching on to the breast
Yes	01
No	02
b.	My baby lost interest in nursing or began to stop nursing by him or herself 
Yes	01
No	02
c.	Breastmilk alone did not satisfy my baby 
Yes	01
No	02
d.	I thought that my baby was not gaining enough weight
Yes	01
No	02
e.	I didn’t have enough breastmilk
Yes	01
No	02
f.	Breastfeeding was too painful
Yes	01
No	02
g.	I wanted my baby to have both formula and breastmilk.
Yes	01
No	02
Ask h-n if mother is either exclusively formula feeding or feeding both breastmilk and formula
h.	I chose not to breastfeed 
Yes	01
No	02
i.	My baby was sick and could not breastfeed 
Yes	01
No	02
j.	I was sick or had to take medicine 
Yes	01
No	02
k.	Breastfeeding seemed too inconvenient 
Yes	01
No	02
l.	I could not or did not want to pump 
Yes	01
No	02
m.	I wanted or needed someone else to feed my baby
Yes	01
No	02
n.	For another reason
Yes (specify______________________________________)	01
No	02
Formula Food Safety Questions
3, 7, 11

People have different routines they follow when preparing formula. Now I’d like to ask you about things you might do when you prepare formula for your baby.
CF54.	In the past month, when you prepared infant formula for {CHILD} how often did you mix it with water that you had boiled first? Would you say you did that always, sometimes, never, or did you use ready-to-feed formula instead?
Always	01
Sometimes	02
Never	03
Use ready-to-feed [skip to CF22]	04
CF55.	Some people mix their infant formula with water, and keep it until they need it to feed their babies. In the past month, how often did you mix infant formula more than 24 hours before you fed it to {CHILD}? Would you say that you always mixed it more than 24 hours before you fed it to {CHILD}, sometimes did that, never did that, or did you use ready-to-feed formula instead?
Always	01
Sometimes	02
Never	03
Use ready-to-feed	04
If not adhering to formula dilution instructions, why? Prescribed by Dr., nutritionist?
1, 3, 5, 7, 9, 11, 13

CF22.	In the past month, did you ever mix the formula with extra water to make it last longer? [Source: IFPS-1]
Yes	01
No	02
If CF22 = NO, skip to CF24.
CF23.	(If yes to CF22) Who told you to prepare the formula this way? [Source: New Development]
Doctor	01
Someone who works at the WIC office or clinic	02
Another health care provider	03
Friend	04
Family member	05
Other	06
No one told me	07
CF24.	In the past month, did you ever mix the formula with less water than directed in order to concentrate it or make it stronger? [Source: IFPS-1, modified]
Yes	01
No	02
Not applicable – use ready-to-feed	03
If CF24 = NO, skip to CF27.
CF25.	(If yes to CF24) Who told you to prepare the formula this way? [Source: New Development]
Doctor	01
Someone who works at the WIC office or clinic	02
Another health care provider	03
Friend	04
Family member	05
Other	06
No one told me	07
How is formula feeding schedule determined (set, on demand, mixed)
1, 3, 5, 7, 9, 11, 13

CF27.	Do you feed {CHILD} formula on a regular schedule or when [HE/SHE] cries or seems hungry? [Source: IFPS-1]
Schedule	01
Cries or seems hungry	02
Both on a schedule and when baby cries or seems hungry	03
	
Move to Partial Breastfeeding
	

Timing of move to partial breastfeeding
(any time 1-13)

Ask of all women who indicated fully BF in CF1. Once answered affirmatively, drop from subsequent interviews.
CF52.	Has {CHILD} ever been fed infant formula, even just one time?  Do not count while you were in the hospital after {CHILD’s} birth.
Yes	01 (go to CF53)
No	02 (go to CF32)
Don’t know	03
Refused	04

Ask of fully BF women who answered yes to CF52, partially BF women (based on CF1), and fully formula feeding women (based in CF1) who indicated that they ever breastfed in CF29 or HF10. Ask once, first time formula feeding indicated in CF1 or CF52, then drop from subsequent interviews.
CF53.	How old was {CHILD} the first time [HE/SHE] was fed infant formula? Do not count while you were in the hospital after {CHILD’S} birth.
Age	[days/weeks/months]
Don’t know	98
Refused	99

Asked of all partially BF women and all fully formula feeding women who ever breastfed based on CF29 or HF10. Ask until an age, don’t know, or refused is given in response, then drop from subsequent interviews.
CF28.	How old was {CHILD} when [HE/SHE] was first fed formula every day? [Source: FITS 2002, modified]
Age	[days/weeks/months]
Child is not fed formula every day	97
Don’t Know	98
Refused	99
	
Breastfeeding Cessation Module: (asked once first time mother indicates not currently feeding breastmilk in CF1)
Questions CF30 – CF31
	

Timing of cessation of breastfeeding
(any time 1-13)

Ask at first interview when mother says she is not feeding breastmilk, if she indicated feeding breastmilk in CF1 on previous interviews or if she answered ‘yes’ to ever breastfed or tried to breastfeed in CF29
CF30.	How old was {CHILD} when you completely stopped breastfeeding or feeding [HIM/HER] breastmilk from a bottle? [Source: IFPS-1, modified]
Age	[days/weeks/months]
Reasons for cessation of breastfeeding
(any time 1-13)

CF31.	There are many reasons mothers stop breastfeeding. Please tell me if any of the following reasons helped you to decide to stop breastfeeding {CHILD}? [Source: FDA IFPS-2, modified]
	Do not ask (a) if interview is 5 months or later
a.	My baby had trouble sucking or latching on 
Yes	01
No	02
b.	My baby began to bite 
Yes	01
No	02
c.	My baby lost interest in nursing or began to stop nursing by him or herself 
Yes	01
No	02
d.	Breastmilk alone did not satisfy my baby 
Yes	01
No	02
e.	I thought that my baby was not gaining enough weight
Yes	01
No	02
f.	I didn’t have enough milk
Yes	01
No	02
g.	Breastfeeding was too painful
Yes	01
No	02
h.	I was sick or had to take medicine 
Yes	01
No	02
i.	Breastfeeding was too inconvenient 
Yes	01
No	02
j.	I wanted or needed someone else to feed my baby
Yes	01
No	02
k.	I did not want to breastfeed in public
Yes	01
No	02
l.	Another reason (specify ________________________________)
Yes	01
No	02
Time to cessation of bottle feeding
7, 9, 11, 13, 15, 18, 24 (ask until affirmative, then stop asking)

CF34.	Is {CHILD} still drinking anything from a bottle? [Source: New Development]
Yes	01
No	02
CF35.	(If CF34 = NO, ask:) How old was {CHILD} when he/she stopped using a bottle? [Source: New Development]
Age	[weeks/months/years]
	
Supplemental Foods Initiation (asked all interviews 1-24 until all endorsed) 
	

Fed other than breastmilk or formula
1, 3, 5, 7, 9, 11, 13, 15, 18, 24 

Ask CF32 at every interview until mother answers yes, then drop from later interviews and go straight to CF36.
CF32.	Has {CHILD} been given anything to eat or drink besides formula or breastmilk? [Source: WIC IFPS-1, modified]
Yes	01
No	02
Were foods other than breastmilk or formula fed by bottle? If so, why?
1, 3, 5, 7

Ask only if CF34 = YES – still drinking from bottle

CF36.	Now I’m going to ask you some questions about things you might have added to your baby’s bottle of infant formula or pumped breastmilk. [Source: FDA IFPS-2, modified; New Development for reasons]
a	In the past two weeks, how often have you added baby cereal to your baby’s bottle?
Every feeding	01
At most feedings	02
About once a day	03
Every few days	04
Rarely	05
Never	06
b.	(If anything other than never) Why did you add baby cereal to your baby’s bottle?
To make him/her full	01
To make him/her drink more milk	02
To give him/her a special treat	03
As a remedy	04
A doctor or other health professional told me to	05
A friend or relative told me to	06
Other	07
c.	In the past two weeks, how often have you added sweetener to your baby’s bottle?
Every feeding	01
At most feedings	02
About once a day	03
Every few days	04
Rarely	05
Never	06
d.	(If anything other than never) Why did you add sweetener to your baby’s bottle?
To make him/her full	01
To make him/her drink more milk	02
To give him/her a special treat	03
As a remedy	04
A doctor or other health professional told me to	05
A friend or relative told me to	06
Other	07
e.	Have you added anything else?(Specify OTHER)_____________________) In the past two weeks, how often have you added [OTHER] to your baby’s bottle?
Every feeding	01
At most feedings	02
About once a day	03
Every few days	04
Rarely	05
Never	06
f.	(If anything other than never) Why did you add [OTHER] to your baby’s bottle?
To make him/her full	01
To make him/her drink more milk	02
To give him/her a special treat	03
As a remedy	04
A doctor or other health professional told me to	05
A friend or relative told me to	06
Other	07
Time to introduction of supplemental foods
1, 3, 5, 7, 9, 11, 13, 15, 18, 24
Only ask CF33 if CF32 = YES now or at a previous interview
Next I’m going to ask you some questions about when you first started feeding {CHILD} different types of foods.
Ask each food until answer is affirmative, then stop asking that food in subsequent interviews
CF33.	For each of the following, please tell me if {CHILD} has been given this food or drink, and if so, how old {CHILD} was when he/she first had that food. [Sources: FITS 2008; IFPS-1; WHO Toolkit 1996]
a.	Has [HE/SHE] been given plain bottled or tap water?
Yes	01
No	02
b.	(If yes) How old was {CHILD} when [HE/SHE] was first fed plain bottled or tap water?
Age	[weeks/months]
Don’t know	98
Refused	99
c.	Has [HE/SHE] been given soda or soft drinks?
Yes	01
No	02
d.	(If yes) How old was {CHILD} when [HE/SHE] was first fed soda or soft drinks?
Age	[weeks/months]
Don’t know	98
Refused	99
e.	Has [HE/SHE] been given other sweetened beverages (such as Kool Aid, Hi-C, Fruit Punch, sweetened juice, sweetened or flavored water, Gatorade, or sweet tea)?
Yes	01
No	02
f.	(If yes) How old was {CHILD} when [HE/SHE] was first fed other sweetened beverages?
Age	[weeks/months]
Don’t know	98
Refused	99
g.	Has [HE/SHE] been given 100% fruit juice such as apple juice, orange juice, or other types of 100% juice. Do not include fruit-flavored drinks with added sugar or fruit juice you made at home and added sugar to?
Yes	01
No	02
h.	(If yes) How old was {CHILD} when [HE/SHE] was first fed 100% fruit juice?
Age	[weeks/months]
Don’t know	98
Refused	99
i.	Has [HE/SHE] been given other drinks and liquids, including teas and broths?
Yes	01
No	02
j.	(If yes) How old was {CHILD} when [HE/SHE] was first fed Other drinks and liquids, including teas and broths?
Age	[weeks/months]
Don’t know	98
Refused	99
k.	Has [HE/SHE] been given Cow’s milk, including whole milk, 2%, 1%, or skim? Please include milk you add to other foods such as cereal.
Yes	01
No	02
l.	(If yes) How old was {CHILD} when [HE/SHE] was first fed cow’s milk?
Age	[weeks/months]
Don’t know	98
Refused	99
m.	Has [HE/SHE] been given dairy products other than cow’s milk including cheese, yogurt, or goat’s milk? Please include any dairy products other than cow’s milk that you add to other foods.
Yes	01
No	02
n.	(If yes) How old was {CHILD} when [HE/SHE] was first fed dairy products other than cow’s milk?
Age	[weeks/months]
Don’t know	98
Refused	99
o.	Has [HE/SHE] been given baby cereal, either with a spoon or by adding it to a bottle of breastmilk or formula?
Yes	01
No	02
p.	(If yes) How old was {CHILD} when [HE/SHE] was first fed baby cereal?
Age	[weeks/months]
Don’t know	98
Refused	99
q.	Has [HE/SHE] been given other cereal besides baby cereal?
Yes	01
No	02
r.	(If yes) How old was {CHILD} when [HE/SHE] was first fed other cereal besides baby cereal?
Age	[weeks/months]
Don’t know	98
Refused	99
s.	Has [HE/SHE] been given eggs?
Yes	01
No	02
t.	(If yes) How old was {CHILD} when [HE/SHE] was first fed eggs?
Age	[weeks/months]
Don’t know	98
Refused	99
u.	Has [HE/SHE] been given fruit, including baby food or regular fruit?
Yes	01
No	02
v.	(If yes) How old was {CHILD} when [HE/SHE] was first fed fruit?
Age	[weeks/months]
Don’t know	98
Refused	99
w.	Has [HE/SHE] been given vegetables, including baby food or regular vegetables?
Yes	01
No	02
x.	(If yes) How old was {CHILD} when [HE/SHE] was first fed vegetables?
Age	[weeks/months]
Don’t know	98
Refused	99
y.	Has [HE/SHE] been given beans, such as black beans, pinto beans, or chick peas?
Yes	01
No	02
z.	(If yes) How old was {CHILD} when [HE/SHE] was first fed beans?
Age	[weeks/months]
Don’t know	98
Refused	99
aa.	Has [HE/SHE] been given peanut butter
Yes	01
No	02
bb.	(If yes) How old was {CHILD} when [HE/SHE] was first fed peanut butter?
Age	[weeks/months]
Don’t know	98
Refused	99
cc.	Has [HE/SHE] been given meats,, chicken, or fish, including baby food and baby food combination dinners containing these foods?
Yes	01
No	02
dd.	(If yes) How old was {CHILD} when [HE/SHE] was first fed meat, chicken, or fish?
Age	[weeks/months]
Don’t know	98
Refused	99
ee.	Has [HE/SHE] been given salty snacks, such as chips, pretzels, crackers, or other snack foods including baby snacks?
Yes	01
No	02
ff.	(If yes) How old was {CHILD} when [HE/SHE] was first fed salty snacks?
Age	[weeks/months]
Don’t know	98
Refused	99
gg.	Has [HE/SHE] been given sweets, such as cake, cookies, candy, or jam?
Yes	01
No	02
hh.	(If yes) How old was {CHILD} when [HE/SHE] was first fed sweets?
Age	[weeks/months]
Don’t know	98
Refused	99
Next I’m going to ask you some questions about the types of food you buy or make for {CHILD}, how you prepare those foods and feed them to {CHILD}, and what foods you get through WIC.

Source of baby food (homemade or purchased; if purchased, was it all with WIC vouchers or some purchased without WIC vouchers)
7, 9, 11, 13

CF37.	For each food category I read to you, please tell me about how much of the food fed to your baby over the past 7 days was store-bought baby food in a jar or container. Baby foods in a jar or container are those sold especially for babies. Foods that are not baby foods in a jar or container include fresh fruit, fruit juices other than those especially sold for babies, foods you prepare especially for the baby, and table food. [Source: FDA IFPS-2, modified]
a.	Fruit and vegetable juice
All store-bought baby food	01
Mostly store-bought baby food	02
Some store-bought baby food	03
No store-bought baby food	04
Not fed this food in past 7 days	05
b.	Fruit
All store-bought baby food	01
Mostly store-bought baby food	02
Some store-bought baby food	03
No store-bought baby food	04
Not fed this food in past 7 days	05
c.	Vegetables 
All store-bought baby food	01
Mostly store-bought baby food	02
Some store-bought baby food	03
No store-bought baby food	04
Not fed this food in past 7 days	05
d.	Meat, such as beef and chicken
All store-bought baby food	01
Mostly store-bought baby food	02
Some store-bought baby food	03
No store-bought baby food	04
Not fed this food in past 7 days	05
d.	Combination dinners
All store-bought baby food	01
Mostly store-bought baby food	02
Some store-bought baby food	03
No store-bought baby food	04
Not fed this food in past 7 days	05
CF38.	[If all, mostly or some store-bought baby food indicated above, then ask:] Was all of the store-bought baby food in jars or containers bought with WIC checks, only some with WIC checks, or none with WIC checks? [Source: New Development]
All with WIC checks	01
Some with WIC checks	02
None with WIC checks	03
Don’t know	98
Refused	99
Methods and frequency of methods used to prepare child foods
7, 9, 11, 13

CF39.	[If mostly, some, or no store-bought baby food fed in past 7 days from above, ask:] I’m going to read you some ways people prepare homemade food for babies. For each one, please tell me if you do this to make food for {CHILD}. [Source: New Development]
	a.	Puree, such as in a blender or food processor
Yes	01
No	02
	b.	Mash, such as with a fork or spoon
Yes	01
No	02
	c.	Chop or dice
Yes	01
No	02
	d.	Chew foods yourself before giving to [HIM/HER]
Yes	01
No	02
	e.	Is there any other way you make food for {CHILD}?
Yes (specify _____________________________)	01
No	02
Method of feeding child (spoon, infant feeder, bottle/modified bottle, etc.)
*3, 5, 7, 9, 11, 13, 15
*only ask if indicated that child is eating solid foods (something other than formula or BM)

CF40.	In the past 7 days, have you given {CHILD} any foods with a spoon? [Source: IFPS-1, modified]
Yes	01
No	02

CF41.	In the past 7 days, have you given {CHILD} any foods with an infant feeder or with a bottle that has an extra large nipple hole? [Source: IFPS-1, modified]
Yes	01
No	02
Infant/child food package – does child eat foods from WIC food package?
7, 13, 15, 18, 24

At 7 mo only:
CF42.	Which of the following WIC foods does {CHILD} eat? Does [HE/SHE] eat: [Source: FITS 2008, modified]
a.	Infant formula from WIC
Yes	01
No	02
Don’t Know	98
b.	Baby cereal from WIC
Yes	01
No	02
Don’t Know	98
c.	Baby food fruits from WIC 
Yes	01
No	02
Don’t Know	98
d.	Does [HE/SHE] eat baby food vegetables from WIC
Yes	01
No	02
Don’t Know	98
e.	Baby food meats from WIC
Yes	01
No	02
Don’t Know	98
f.	Does [HE/SHE] eat any other food from WIC (Specify________________________________________) 
Yes	01
No	02
Don’t Know	98
Perceptions of impact of WIC food package choices on food child receives 
7, 15

KA28.	Are the foods you can buy with WIC checks the kinds of foods that you would typically feed {CHILD}? [Source: New Development]
Yes	01
No	02
Don’t know	98

MATERNAL HEALTH AND LIFESTYLE
Now I’d like to change topics and ask you some questions about work, school, and child care.
Educational status
3, 7, 13, 18, 24

SD27.	As of today, are you in school or college? [Source: WIC IFPS-1]
Yes	01
No	02
Current employment status
3, 7, 13, 18, 24

SD29.	Are you currently working for pay full time, part time, or not at all? [Source: LA WIC Survey]
Full time (35 hours or more)	01
Part time	02
Not at all 	03
Ask SD30 first time answer to SD 27 or SD29 is ‘yes’ then discontinue
SD30.	How old was {CHILD} when you started going to school or working? [Source: New Development]
Age	[weeks, months]

Ever used regular non-maternal child care?
3, 7, 13, 24 (once answered affirmative, stop asking for subsequent interviews)

The next few questions are about childcare. By childcare, we mean any kind of arrangement where someone other than you or {CHILD’S} other parent takes care of {CHILD} on a regular basis. Please include care provided by a relative or non-relative, either in your home or someone else’s home, as well as in a child care center or family daycare home. Do not include care provided by you or {CHILD’S} other parent. [Source: PHFE WIC Survey 2010 modified]
MH18.	Have you ever used a regular childcare arrangement for {CHILD}?
Yes	01
No	02
When did child first start non-maternal child care?
3, 7, 13, 24 (asked only if ever used is yes, then stop asking once answered)

MH19.	At what age did {CHILD} first start a regular childcare arrangement? [Source: New Development]
Age	[months]
Current use of non-maternal child care (and what kind)
3, 7, 13, 24

MH20.	Which type of regular childcare arrangement are you currently using the most for {CHILD}? [Source: PHFE WIC Survey 2011, modified]
A child care center	01
A family daycare home	02
Early Head Start	03
Someone cares for {CHILD} in their home	04
Someone cares for {CHILD} in your home	05
Some other kind of childcare	06
Not currently using childcare	07
Contact info for child care (for CACFP status)
3, 7, 13, 24

MH21.	(If center or family daycare or EHS from MH20) Can we get the official name and address of the child care? We won’t contact them without your permission, we just need it to for our records. [Source: New Development]
Name ___________________________________________________
Address _________________________________________________
Barriers to breastfeeding in child care
3, 7

Ask MH22 only if mother answered indicated in CF1 that she is fully or partially breastfeeding and in MH20 that she is currently using child care
MH22.	Do you have problems continuing to feed {CHILD} breastmilk while he/she is in childcare? [Source: New Development]
Yes	01
No	02
	(If yes), Please tell me if you have any of the following problems feeding {CHILD} breastmilk while he/she is in childcare:
a.	Lack of time
Yes	01
No	02
b.	Lack of privacy at child care site
Yes	01
No	02
c.	Too difficult to transport pumped milk to child care
Yes	01
No	02
d.	Child care provider doesn’t encourage it
Yes	01
No	02
e.	Any other problem (describe ____________________________________)
Yes	01
No	02
Who provides food to child care location (provided by mother, or by facility)
3, 7, 13, 24

Ask only if indicated current child care use in MH20
MH23.	Who provides most of the food {CHILD} eats at childcare – the child care provider, you, or is the food divided about equally between you and the childcare provider? [Source: PHFE WIC Survey 2011]
Child care provider	01
Parent	02
Equally divided	03
If child care provides food, program timing for transition to supplemental foods
7, 13

Ask only if MH23 indicates child care provides food

7 mo:
MH24.	(If the child care provider supplies food) At what age does the child care provider start giving jarred or homemade baby foods? [Source: New Development]
Age	[weeks/months]
Human milk given by bottle, or mother comes to breastfeed at child care location?
3, 7 

Ask MH27 only if mother answered indicated in CF1 that she is fully or partially breastfeeding and in MH20 that she is currently using child care
MH27.	Do you take pumped breast milk to the child care facility/person, or do you go there to breastfeed your baby? [Source: New Development]
Pumped milk	01
Go there to feed	02
Both	03
EXPERIENCE, KNOWLEDGE, ADVICE, BELIEFS

Ask KA24, KA25, KA28 only if still on WIC. If not on WIC, skip to CH1.

Next I’d like to ask you about foods you get from WIC.

Perceptions of impact of WIC food package on breastfeeding behavior
3, 7

KA24.	At your WIC office or clinic, do you know if there is a special WIC food package for breastfeeding mothers who do not accept infant formula from WIC? [Source: IFPS-1, modified]
Yes	01
No	02
Don’t Know	98
KA25.	(If yes) How important was the special food package for breastfeeding mothers in your decision to breastfeed {CHILD}? [Source: New Development]
Very important	01
Somewhat important	02
Not important	03
CHILD HEALTH, BEHAVIOR, AND CHILD REARING

Finally I’m going to ask you some questions about your child’s health and behavior.

Immunizations
7

CH1.	[BORN IN HOSPITAL:  Since {CHILD} first came home from the hospital…; NOT BORN IN HOSPITAL:  Since {CHILD} was born…]; has [he/she] been given any vaccines or vaccinations either by mouth or by shot? [Source: WIC IFPS-1]
Yes	01
No	02
Don’t Know	98
Health status/conditions
Actions to rectify health conditions
1, 3, 5, 7, 9, 11, 13, 15, 18, 24

CH2.	Has the doctor told you that {CHILD} has any long-term medical problems or conditions that may affect what or how (he/she) eats? [Source: FITS 2008, modified]
	(Interviewer, if necessary add) These medical problems or conditions may be things like food allergies, diabetes, metabolic disorders such as PKU or galactosemia, gastrointestinal problems such as gastric reflux, other problems like cleft palate or other mouth or facial conditions – any long-term problems that affect the baby’s ability to eat and swallow.
Yes	01
No	02
Don’t Know	98
(If yes) What medical problem or condition does {CHILD} have?
	Specify ______________________________________________
CH3.	(If yes to health status/conditions in CH2):  What are you currently doing to treat this medical problem? [Source: New Development] (Open-ended, Interviewer check all that apply)
Taking her/him to the doctor for treatment	01
Treating him/her at home with medicine	02
Treating him/her at home with something other than 
medicine (such as herbal remedies, special teas, or other 
forms of treatment)	03
Changing his/her diet	04
Other	05
Don’t Know	98
Refused	99

PARTICIPANT CONTACT INFORMATION UPDATE

Thank you for taking the time to speak with me today. Because we’ll be calling you again for your next interview (EN: in a couple of weeks / all other times: when your child is {AGE – next interview}), I’d like to be sure we have all the right ways to contact you.

CM1.	Is your full name still {NAME}?
Yes	01
No	02
(If no, go to a)
a.	Can you please tell me what your full legal name is now?
	_____________________________________________
Ask only if still on WIC:
CM2.	{If have WIC ID on file: We have your WIC ID as {FILL}, is that correct?/If don’t have WIC ID on file: Do you know what your current WIC ID is?}
WIC ID is the same (fill below)	01
New WIC ID (specify below) 	02
Don’t know WIC ID	98
Refused WIC ID	99

	WIC ID___________________________________
CM3.	 I reached you today at {FILL #}. Will that still be the best number to call you at for your next interview?
Yes (if yes, go to b)	01
No (if no, go to a)	02

a.	What is the best number to call you at for your next interview?
Number (specify ---/---/----)
NO PHONE (go to CM4)	97
Is that number home, work, cell, or something else?
Home	01
Work	02
Cell	03
Other (specify__________________)	04

b.	Is there another number we could try in case we have trouble reaching you?

Number (specify ---/---/----)
Is that number home, work, cell, or something else?
Home	01
Work	02
Cell	03
Other (specify__________________)	04

We’d like to keep in touch with you even if we can’t get you by phone or your phone number changes, so I’m going to ask you about a few additional ways we might be able to contact you.
CM4.	If have email on file: We have your email address as {FILL}, is that correct?/If no email: Do you have an email address we could use to contact you if necessary?
Email is the same (fill below)	01
New Email (specify below) 	02
Don’t know Email	98
Refused Email	99

	Email___________________________________
CM5.	If mailing address on file: We have your current mailing address as {FILL}. Is that correct? If no mailing address on file: Can I get a mailing address we could use to contact you if necessary?
Address is the same (fill below)	01
New address (specify below) 	02
Don’t know/don’t have address	98
Refused address	99

a.	Can you please tell me what your current mailing address is?
	Street/Apt#________________________________________
	City______________________________________________
	State_____________________________________________
	ZIP______________________________________________
b.	(If CM3a is 97 – no phone):  Earlier you indicated that you do not have a phone. Since we need to speak with you by phone we will mail you a study phone. You will receive the phone before your next interview. The package will contain instructions on how to use the phone. Should we mail the phone to the mailing address you just provided?
Address is the same (fill below)	01
New address (specify below) 	02
Don’t know/don’t have address	98
Refused address	99

	Can you please provide the address where the phone should be mailed?
	Street/Apt#________________________________________
	City______________________________________________
	State_____________________________________________
	ZIP______________________________________________
CM6.	[Social Media – will develop question when procedure is finalized]
CM7.	(If contacts on file: Earlier you provided the names and contact information for two people who would always know how to find you. Can I read that information back to you and check that it’s still up to date?/If no contacts on file: Just in case we can’t get in touch with you using the information you just gave me, I’d like to ask you for the names and contact information for two people who would always know how to find you.
Person #1 (If contacts on file, read fill info and correct as needed)
Name	
Who is this person to you?	
Phone	
Address	
Email	

Person #2 (If contacts on file, read fill info and correct as needed)
Name	
Who is this person to you?	
Phone	
Address	
Email	
Ask at 7, 13, 24 months only if core sample, and no longer in WIC. Ask once and then confirm at interview prior to when the next height/weight measure is needed:
CM9.	As we mentioned when you first joined the study, we’d like to get information from {CHILD}’s doctor, and you gave us permission to do that. Can I please have the name of your child’s doctor, the doctor’s phone number if you have it, and the city and state where the doctor’s office is?
Doctor’s name	
Location	
Phone	
Child hasn’t seen a doctor	97
Don’t know	98
Refused	99
If CM9 = 97, 98, 99 refer case for home health service.