WIC Participant

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APPENDIX S.1
WIC ITFPS-2 Participant Interview
24 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_____________________________________
OK, I’m going to start by asking you some questions about yourself and your household.

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

Continuation/discontinuation of WIC participation (timing, reasons, location)
1, 3, 5, 7, 9, 11, 13, 15, 18, 24

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

Perceptions of Impact of Nutrition Education
3, 13, 24

Administer WC20 only if respondent indicated in SD31 that they are still on WIC. If not on WIC, skip to WC21.

WC20.	Your WIC benefits include both education and food. Which is more important to you—the food you get from WIC, the education you get from WIC, or are they equally important? [Source: New Development]
Food is more important	01
Education is more important	02
They are equally important	03
Don’t know	98
Refused	99

If no longer on WIC, say: I’d like to ask you about how you used WIC education.
WC21.	Have you changed how you feed yourself or your family because of something you learned at WIC?  [Source: New Development]
Yes	01
No	02
Don’t Know	98

WC22.	(If YES to WC21) What is the most important change you have made based on education you received from WIC?  (Open-ended; Interviewer record response) [Source: New Development]
I/we eat more fruits and vegetables	01
I/we eat more whole grains	02
I/we drink more reduced fat/low-fat/non-fat milk	03
I am breastfeeding/breastfed	04
I know how to prepare formula/feed the right amount of formula	05
We have more family meals/eat together	06
We don’t watch TV when eating meals	07
We drink/buy fewer sugar sweetened beverages	08
I/we offer the right amount of foods (portion)	09
I know how to choose more healthy foods for myself/my family	10
Other (specify____________________________________)	11
Don’t know	98
Refused	99

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)
	
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 CF33.
CF32.	Has {CHILD} been given anything to eat or drink besides formula or breastmilk? [Source: WIC IFPS-1, modified]
Yes	01
No	02

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.

Time to cessation of bottle feeding
7, 9, 11, 13, 15, 18, 24 (until affirmative)

CF34.	Is {CHILD} still drinking anything from a bottle? [Source: New Development]
Yes	01
No	02
CF35.	(If no, ask:) How old was {CHILD} when he/she stopped using a bottle? [Source: New Development]
Age	[weeks/months/years]
Infant/child food package – does child eat foods from WIC food package?
7, 13, 15, 18, 24

For 13, 15, 18, 24 mo:
CF43.	Which of the following WIC foods does {CHILD} eat? Does [HE/SHE] eat: [Source: FITS 2008, modified]
a.	Breakfast cereal, either hot or cold from WIC
Yes	01
No	02
Don’t Know	98
b.	Cheese from WIC
Yes	01
No	02
Don’t Know	98
c.	Eggs from WIC
Yes	01
No	02
Don’t Know	98
d	Does {CHILD} eat fruits from WIC
Yes	01
No	02
Don’t Know	98
e.	100% juice from WIC
Yes	01
No	02
Don’t Know	98
f.	Milk from WIC, including cow’s milk, soy milk, or other milk
Yes	01
No	02
Don’t Know	98
g.	Peanut butter from WIC
Yes	01
No	02
Don’t Know	98
h.	Does {CHILD} eat vegetables from WIC
Yes	01
No	02
Don’t Know	98
i.	Whole grain bread or other whole grains, such as brown rice, bulgur, barley, or tortillas from WIC
Yes	01
No	02
Don’t Know	98
j.	Does {CHILD} eat other food from WIC (specify ________________________________________)
Yes	01
No	02
Don’t Know	98
Practices for introducing new foods to toddlers
15, 18, 24

CF49.	How many times do you offer a new food before you decide {CHILD} does not like it? [Source: FITS 2002, 2008, modified]
Once 	01
Twice 	02
Three to five times 	03
Six to ten times 	04
More than ten times 	05
LIKES EVERYTHING 	06
DON’T KNOW 	98
REFUSED	99
Toddler feeding rules
15, 24

CF51.	I am going to read some things that parents may do. Please tell me how often each statement is true for you and {CHILD}. [Source: Thompson et al., 2009]
	a.	I keep track of what food {CHILD} eats
Always	01
Usually	02
About half of the time	03
Occasionally	04
Never	05
	b.	I try to get {CHILD} to finish his/her food
Always	01
Usually	02
About half of the time	03
Occasionally	04
Never	05
	c.	I try to get {CHILD} to eat even if she/he seems not hungry
Always	01
Usually	02
About half of the time	03
Occasionally	04
Never	05
	d.	I carefully control how much {CHILD} eats
Always	01
Usually	02
About half of the time	03
Occasionally	04
Never	05
	e.	I am very careful not to feed {CHILD} too much
Always	01
Usually	02
About half of the time	03
Occasionally	04
Never	05
MATERNAL HEALTH AND LIFESTYLE

Now I’d like to change topics and ask you some questions about your health, and about work, school, and child care.
Maternal weight
1, 3, 13, 24

MH13.	Right now, about how much do you weigh, without shoes? [Source: PHFE WIC Postpartum Questionnaire 2010]
Pounds	[number]
Educational attainment
Baseline, 24 months

SD26.	What is the highest year or grade you finished in school? [Source: FITS 2002; modified]
	(do not read – endorse based on participant response, probe if needed)
NEVER ATTENDED SCHOOL	01
GRADES 1 TO 11, ENTER NUMBER 	02
High school diploma or GED 	03
Some college/some postsecondary vocational courses	04
2-year or 3-year college degree (AA degree) 
or vocational school diploma 	05
4-year college degree (BA, BS degree)	06
Some graduate work/no graduate degree	07
Doctoral or graduate degree (MA, MBA, PhD, JD, MD)	08
DON’T KNOW	98
REFUSED	99
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, while you go to work or school. 
Please include care provided by a relative or non-relative, either in your home or someone else’s home, as well as in a childcare 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 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 _________________________________________________
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
EXPERIENCE, KNOWLEDGE, ADVICE, BELIEFS

Now I’m going to ask you about your beliefs about feeding toddlers.

Toddler period knowledge, attitudes, beliefs about nutrition
15, 24

KA11.	It’s ok for a toddler to walk around while eating as long as he or she eats. [Source: Thompson, 2009, modified]. Would you say that you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree?
Strongly agree	01
Agree	02
Neither agree nor disagree	03
Disagree	04
Strongly disagree	05
KA12.	It’s important for a toddler to finish all the food on his or her plate. [Source: Thompson, 2009, modified]. Would you say that you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree?
Strongly agree	01
Agree	02
Neither agree nor disagree	03
Disagree	04
Strongly disagree	05
KA13.	The best way to make a toddler stop crying is to feed him or her. [Source: Thompson, 2009, modified]. Would you say that you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree?
Strongly agree	01
Agree	02
Neither agree nor disagree	03
Disagree	04
Strongly disagree	05
KA14.	It’s important that the parent decides how much a toddler should eat. [Source: Thompson, 2009, modified]. Would you say that you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree?
Strongly agree	01
Agree	02
Neither agree nor disagree	03
Disagree	04
Strongly disagree	05
KA15.	People feel differently about what their toddlers eat. Which of the following best describes your opinion about toddlers eating fast food: [Source: Thompson, 2009, modified]
Toddlers should be allowed to eat fast food whenever they want to	01
Toddlers should be allowed to eat fast food occasionally	02
Toddlers should never eat fast food	03
KA16.	There are many kinds of sugary foods like candy, ice cream, cakes or cookies. Which of the following best describes your opinion about toddlers eating sugary foods: [Source: Thompson, 2009, modified]
Toddlers should be allowed to eat sugary foods whenever they want to	01
Toddlers should be allowed to eat sugary foods occasionally	02
Toddlers should never eat sugary foods	03
KA17.	There are many kinds of snack foods like potato chips, regular or flavored tortilla chips, and cheese puffs. Which of the following best describes your opinion about toddlers eating snack foods: [Source: Thompson, 2009, modified]
Toddlers should be allowed to eat snack foods whenever they want to	01
Toddlers should be allowed to eat snack foods occasionally	02
Toddlers should never eat snack foods	03
Caregiver understanding of infant nonverbal satiety cues and crying; toddler satiety cues.
3, 13, 24

13 and 24 months:
KA27.	I’m going to read you some statements about when {CHILD} is hungry or full. Please tell me how much you agree or disagree with these statements. [Source: First Steps Survey, modified]
	a.	My child knows when he or she is full. Would you say that you:
Strongly agree	01
Agree	02
Neither agree nor disagree	03
Disagree	04
Strongly disagree	05
	b.	I let my child decide how much to eat. Would you say that you:
Strongly agree	01
Agree	02
Neither agree nor disagree	03
Disagree	04
Strongly disagree	05

Perceptions of infant/toddler size and role in feeding decisions
3, 13, 24

At 3, 13, 24:
KA29.	Does your child’s weight influence your decisions about how and what to feed [HIM/HER]?  [Source: New Development]
Yes	01
No	02
Don’t know	98
At 24 months only:
KA30.	Currently, would you describe your child as overweight, normal weight or thin? [Source: UCLA/PHFE CHIRP Study]
Overweight	01
Normal	02
Thin	03
CHILD HEALTH, BEHAVIOR, AND CHILD REARING

Finally, I’m going to ask you some questions about {CHILD’S} health and behavior, and your family’s routines and habits.

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
Child is a picky eater
18, 24

CH4.	Do you consider [CHILD] a very picky eater, a somewhat picky eater, or not a picky eater? [FITS 2008]
A very picky eater	01
A somewhat picky eater	02
Or, not a picky eater? 	03
Don’t Know	98
Refused	99
Child physical activity indoors
5, 13, 15, 24

At 13, 15, 24 only:
CH6.	I am going to read you a list of activities you or someone in your home may have done with {CHILD} in the past week. How often did you or someone in your home do: [Source: MacDonald & Parke, 1986, modified]
a.	Wrestling. This is when someone gently and playfully pushes the child around on the ground or a bed, and the child playfully pushes back. In the past week, how often did you or someone in your home wrestle with {CHILD}?
Every day	01
Several times a week	02
Once a week	03
Not at all	04
Don’t Know	98
Refused	99
b.	Tumbling. This is when a child rolls around, does somersaults, or climbs over things. In the past week, how often did you or someone in your home play tumbling with {CHILD}?
Every day	01
Several times a week	02
Once a week	03
Not at all	04
Don’t Know	98
Refused	99
c.	Playing chase. This is when someone playfully runs or crawls after a child. In the past week, how often did you or someone in your home play chase with {CHILD}?
Every day	01
Several times a week	02
Once a week	03
Not at all	04
Don’t Know	98
Refused	99
d.	Playing ball. This includes placing a ball in front of a child so he has to go after it by crawling, walking, or grabbing. In the past week, how often have you or someone in your home played ball with {CHILD}?
Every day	01
Several times a week	02
Once a week	03
Not at all	04
Don’t Know	98
Refused	99
Child physical activity outdoors
18, 24

CH7.	Think for a moment about a typical weekday, that is Monday through Friday, for your child. In the past month, how much time would you say your child spent playing outdoors on a typical weekday? This can include playing in your yard or neighborhood, or playing in a park or other outdoor recreation area, such as a zoo or amusement park. This does not include time spent in a stroller outside. [Source: Parental report of outdoor playtime Burdette, 2004, modified]
Time	[hours/minutes]
CH8.	Now, think about a typical weekend day, that is Saturday or Sunday, for your child. In the past month, how much time would you say your child spent playing outdoors on a typical weekend day? [Source: Parental report of outdoor playtime Burdette, 2004, modified]
Time	[hours/minutes]
Child sleep duration/patterns
5, 11, 24

CH9.	On a typical day, how much time does your child spend sleeping during the NIGHT, between 7 in the evening and 7 in the morning? [Source: Brief Infant Sleep Questionnaire (BISQ), Sadeh, 2004, modified]
Amount of time	[hours, minutes]
CH10.	On a typical day, how much time does your child spend sleeping during the DAY, between 7 in the morning and 7 in the evening? [Source: Brief Infant Sleep Questionnaire (BISQ), Sadeh, 2004, modified]
Amount of time	[hours, minutes]
CH11.	How many times does your child usually wake up during the night, between 7 in the evening and 7 in the morning? [Source: Brief Infant Sleep Questionnaire (BISQ), Sadeh, 2004, modified]
Number of wakings	[number]
Child television/video exposure
15, 18, 24

CH17 .	On an average day, how many hours does {CHILD} watch television? Only include time when [HE/SHE] is actually watching TV, and just give your best estimate. [Source: PHFE WIC survey 2011, modified]
Less than one hour	01
Number of hours(1 or more)	[number 1-18]
Don't know	98
Refused	99
At 18 and 24 only:
CH18.	On an average day, how many hours does {CHILD} play video or computer games, including games on handheld devices like a cell phone? Just give your best estimate. [Source: PHFE WIC survey 2011, modified]
Less than one hour	01
Number of hours (1 or more)	[number 2-18]
Don't know	98
Refused	99
TV on during meals
15, 18, 24

CH19.	When you and your child eat meals or snacks at home, how often is a television on while you are eating? [Source: CDC 2010 Youth Physical Activity and Nutrition Survey, modified]
Most of the time	01
Sometimes	02
Rarely	03
Never	04
Don’t know	98
Refused	99
Family eats together
15, 18, 24

CH20.	During the past week, including weekdays and weekends, how many times did all or most of your family sit down and eat a meal together? [Source: NHANES Flexible Consumer Behavior Survey (CBQ) 2009-2010, modified]
7 or more times each week	01
5-6 times during the week	02
3-4 times/week	03
1-2 times/week	04
Never	05
Don’t know	98
Refused	99
HEALTH CARE PROVIDER INFORMATION UPDATE

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.


24-MONTH BONUS MODULE

We’re nearing the end of this interview, which is your last regular interview for the WIC Feeding My Baby study. Would you be able to take a few extra minutes to answer some final questions about yourself and your family?
6-Item Food Security
24 bonus module

These next questions are about the food eaten in your household in the last 12 months, since (current month) of last year and whether you were able to afford the food you need.

SD36.	I’m going to read you several statements that people have made about their food situation. For these statements, please tell me whether the statement 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 6-item]
The first statement is, “The food that (I/we) bought just didn’t last, and (I/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

SD37.	“We couldn’t afford to eat balanced meals.” 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

SD38.	In the last 12 months, since last (name of current month), did you or other adults in your household ever cut the size of your meals or skip meals because there wasn't enough money for food?
Yes	01
No	02 (skip AD1a)
Don’t Know	98 (skip AD1a)
a.	[if yes to SD38, ask] How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months?
Almost every month	01
Some months but not every month	02
Only 1 or 2 months	03
Don’t know	98

SD39.	In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money for food?
Yes	01
No	02
Don’t Know	98
SD40.	In the last 12 months, were you every hungry but didn't eat because there wasn't enough money for food?
Yes	01
No	02
Don’t Know	98

Receipt of Public Assistance
Baseline, 13, 24

SD21.	Are you or your family currently receiving any of the following: [Source: WIC IFPS-1; modified; HIP, modified]
a.	Supplemental nutrition assistance benefits, sometimes called SNAP or Food Stamps?
Yes	01
No	02
Don’t know	98
b.	Temporary assistance to needy families, sometimes called TANF or welfare?
Yes	01
No	02
Don’t know	98
c.	Medicaid or [state specific name for medicaid]?
Yes	01
No	02
Don’t know	98
d.	Are any children in your household receiving free or reduced price meals from the National School Lunch or School Breakfast Program, or the Summer Foods Program?
Yes	01
No	02
Don’t know	98
Use of emergency food sources
24 month bonus module

SD41.	In the past year, that is since [month] of [last calendar year], did anyone in your household receive food from a food pantry, food bank, or soup kitchen? [Source: HIP, modified]
Yes	01
No	02
Don’t know	98
Refused	99
Maternal Dietary Intake Questions
24 month bonus module
MH28.	These questions are about the different kinds of foods you ate or drank during the past month, that is, the past 30 days. When answering, please include meals and snacks eaten at home, at work or school, in restaurants, and anyplace else. [Source: NHANES]

a.	During the past month, how often did you drink regular soda or pop that contains sugar? Do not include diet soda. You can tell me per day, per week or per month.
Interviewer instruction:
Include: manzanita and peñafiel sodas.
Do not include: diet or sugar-free fruit drinks. do not include juices or tea in cans.

Record quantity:
Quantity	[number]
Never	00
Don’t know	98
Refused	99

Record Unit (per):
Day	01
Week	02
Month	03
Don’t know	98
Refused	99

Interviewer Instruction:
If more than 2 times per day
OR more than 14 times per week
OR more than 60 times per month
Ask:

You said {quantity} per {unit}. Is that correct?
Yes	01
No	02 (if no, re-ask question a)
Don’t know	98
Refused	99
b.	(During the past month), how often did you drink 100% pure fruit juice such as orange, mango, apple, grape and pineapple juices? Do not include fruit-flavored drinks with added sugar or fruit juice you made at home and added sugar to. (You can tell me per day, per week or per month.)
Interviewer instruction:
Include: only 100% pure juices. 
Do not include: fruit-flavored drinks with added sugar, like cranberry cocktail, hi-c, lemonade, kool-aid, gatorade, tampico, and sunny delight. 

Record quantity:
Quantity	[number]
Never	00
Don’t know	98
Refused	99

Record unit (per):
Day	01
Week	02
Month	03
Don’t know	98
Refused	99

Interviewer Instruction:
If more than 14 times per week
OR more than 60 times per month
Ask:

You said {quantity} per {unit}. Is that correct?
Yes	01
No	02 (if no, re-ask question b)
Don’t know	98
Refused	99
c.	(During the past month), how often did you drink coffee or tea that had sugar or honey added to it? Include coffee and tea you sweetened yourself and presweetened tea and coffee drinks such as Arizona Iced Tea and Frappuccino. Do not include artificially sweetened coffee or diet tea. (You can tell me per day, per week or per month.)
Record quantity:
Quantity	[number]
Never	00
Don’t know	98
Refused	99

Record unit (per):
Day	01
Week	02
Month	03
Don’t know	98
Refused	99

Interviewer Instruction:
If more than 1 time per day
OR more than 14 times per week
OR more than 60 times per month
Ask:

You said {quantity} per {unit}. Is that correct?
Yes	01
No	02 (if no, re-ask question c)
Don’t know	98
Refused	99
d.	(During the past month), how often did you drink sweetened fruit drinks, sports or energy drinks, such as Kool-aid, lemonade, Hi-C, cranberry drink, Gatorade, Red Bull or Vitamin Water? Include fruit juices you made at home and added sugar to. Do not include diet drinks or artificially sweetened drinks. (You can tell me per day, per week or per month.)
Interviewer instruction: 
Include: drinks with added sugar, tampico, sunny delight, and twister. 
Do not include: 100% fruit juices or soda, yogurt drinks, carbonated water or fruit-flavored teas. 

Record quantity:
Quantity	[number]
Never	00
Don’t know	98
Refused	99

Record unit (per):
Day	01
Week	02
Month	03
Don’t know	98
Refused	99

Interviewer Instruction:
If more than 14 times per week
OR more than 60 times per month
Ask:

You said {quantity} per {unit}. Is that correct?
Yes	01
No	02 (if no, re-ask question d)
Don’t know	98
Refused	99
e.	(During the past month), how often did you eat fruit? Include fresh, frozen or canned fruit. Do not include juices. (You can tell me per day, per week or per month.)
Interviewer instructions: 
Do not include: dried fruits.

Record quantity:
Quantity	[number]
Never	00
Don’t know	98
Refused	99

Record unit (per):
Day	01
Week	02
Month	03
Don’t know	98
Refused	99

Interviewer Instruction:
If more than 1 time per day
OR more than 14 times per week
OR more than 60 times per month
Ask:

You said {quantity} per {unit}. Is that correct?
Yes	01
No	02 (if no, re-ask question e)
Don’t know	98
Refused	99
f.	(During the past month), how often did you eat a green leafy or lettuce salad, with or without other vegetables? (You can tell me per day, per week or per month.)
Interviewer instructions: 
Include: spinach salads. 

Record quantity:
Quantity	[number]
Never	00
Don’t know	98
Refused	99

Record unit (per):
Day	01
Week	02
Month	03
Don’t know	98
Refused	99

Interviewer Instruction:
If more than 1 time per day
OR more than 14 times per week
OR more than 60 times per month
Ask:

You said {quantity} per {unit}. Is that correct?
Yes	01
No	02 (if no, re-ask question f)
Don’t know	98
Refused	99
g.	(During the past month), how often did you eat any kind of potatoes other than fried potatoes, such as baked, boiled, mashed potatoes, sweet potatoes, or potato salad? (You can tell me per day, per week or per month.)
Interviewer instructions: 
Include: all types of potatoes except fried. Include potatoes au gratin, scalloped potatoes. 

Record quantity:
Quantity	[number]
Never	00
Don’t know	98
Refused	99

Record unit (per):
Day	01
Week	02
Month	03
Don’t know	98
Refused	99

Interviewer Instruction:
If more than 1 time per day
OR more than 14 times per week
OR more than 60 times per month
Ask:

You said {quantity} per {unit}. Is that correct?
Yes	01
No	02 (if no, re-ask question g)
Don’t know	98
Refused	99
h.	(During the past month), how often did you eat refried beans, baked beans, beans in soup, pork and beans or any other type of cooked dried beans? Do not include green beans. (You can tell me per day, per week or per month.)
Interviewer instructions: 
Include: soybeans, kidney, pinto, garbanzo, lentils, black, black-eyed peas, cow peas, and lima beans. 

Record quantity:
Quantity	[number]
Never	00
Don’t know	98
Refused	99

Record unit (per):
Day	01
Week	02
Month	03
Don’t know	98
Refused	99

Interviewer Instruction:
If more than 1 time per day
OR more than 14 times per week
OR more than 60 times per month
Ask:

You said {quantity} per {unit}. Is that correct?
Yes	01
No	02 (if no, re-ask question h)
Don’t know	98
Refused	99
i.	(During the past month), not including what you just told me about (lettuce salads, potatoes, cooked dried beans), how often did you eat other vegetables? (You can tell me per day, per week or per month.)
Interviewer instructions: 
Include any form of the vegetable (raw, cooked, canned, or frozen). Examples of other vegetables include: tomatoes, green beans, carrots, corn, cabbage, bean sprouts, collard greens, and broccoli.
Do not include: rice 

Record quantity:
Quantity	[number]
Never	00
Don’t know	98
Refused	99

Record unit (per):
Day	01
Week	02
Month	03
Don’t know	98
Refused	99

Interviewer Instruction:
If more than 2 times per day
OR more than 14 times per week
OR more than 60 times per month
Ask:

You said {quantity} per {unit}. Is that correct?
Yes	01
No	02 (if no, re-ask question i)
Don’t know	98
Refused	99
j.	(During the past month), how often did you have Mexican-type salsa made with tomato? (You can tell me per day, per week or per month.)
Interviewer instructions: 
Include: all tomato-based salsas. 

Record quantity:
Quantity	[number]
Never	00
Don’t know	98
Refused	99

Record unit (per):
Day	01
Week	02
Month	03
Don’t know	98
Refused	99

Interviewer Instruction:
If more than 1 time per day
OR more than 14 times per week
OR more than 60 times per month
Ask:

You said {quantity} per {unit}. Is that correct?
Yes	01
No	02 (if no, re-ask question j)
Don’t know	98
Refused	99
k.	During the past month, how often did you eat pizza? Include frozen pizza, fast food pizza, and homemade pizza. You can tell me per day, per week or per month.

Record quantity:
Quantity	[number]
Never	00
Don’t know	98
Refused	99

Record unit (per):
Day	01
Week	02
Month	03
Don’t know	98
Refused	99

Interviewer Instruction:
If more than 1 time per day
OR more than 14 times per week
OR more than 60 times per month
Ask:

You said {quantity} per {unit}. Is that correct?
Yes	01
No	02 (if no, re-ask question k)
Don’t know	98
Refused	99
l.	(During the past month), how often did you have tomato sauces such as with spaghetti or noodles or mixed into foods such as lasagna? {If indicated eats pizza in l, add: Please do not count tomato sauce on pizza.} (You can tell me per day, per week or per month.)
Record quantity:
Quantity	[number]
Never	00
Don’t know	98
Refused	99

Record unit (per):
Day	01
Week	02
Month	03
Don’t know	98
Refused	99

Interviewer Instruction:
If more than 1 time per day
OR more than 14 times per week
OR more than 60 times per month
Ask:

You said {quantity} per {unit}. Is that correct?
Yes	01
No	02 (if no, re-ask question l)
Don’t know	98
Refused	99