11.4 Survey

OMB #: 0925-0593

OMB Expiration Date: 8/31/2014

Infant Behavior Questionnaire-Revised (3 Subscales) SAQ, Phase 2g

OMB Specification

Infant Behavior Questionnaire-Revised (3 Subscales) SAQ

Event Category:	Time-Based
Event:	3M
Administration:	N/A
Instrument Target:	Child
Instrument Respondent:	Primary Caregiver
Domain:	Neuro-Psychosocial
Document Category:	Scored Assessment
Method:	Self-Administered
Mode (for this instrument*):	In-Person, PAPI
OMB Approved Modes:	IIn-Person, PAPI; Phone, PAPI; Web, CAI
Estimated Administration Time:	8 minutes
Multiple Child/Sibling Consideration:	Per Child
Special Considerations:	N/A
Version:	1.0
MDES Release:	4.0

*This instrument is OMB-approved for multi-mode administration but this version of the instrument is designed for administration in this/these mode(s) only.

© 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

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Infant Behavior Questionnaire-Revised (3 Subscales) SAQ

TABLE OF CONTENTS

GENERAL PROGRAMMER INSTRUCTIONS: 1

INFANT BEHAVIOR QUESTIONNAIRE-REVISED (3 SUBSCALES) SAQ SPECIFICATION 3

FOR OFFICE USE ONLY: 21

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Clone of Infant Behavior Questionnaire-Revised (3 Subscales) SAQ

GENERAL PROGRAMMER INSTRUCTIONS:

WHEN PROGRAMMING INSTRUMENTS, VALIDATE FIELD LENGTHS AND TYPES AGAINST THE MDES TO ENSURE DATA COLLECTION RESPONSES DO NOT EXCEED THOSE OF THE MDES. SOME GENERAL ITEM LIMITS USED ARE AS FOLLOWS:

DATA ELEMENT FIELDS	MAXIMUM CHARACTERS PERMITTED	DATA TYPE	PROGRAMMER INSTRUCTIONS
ADDRESS AND EMAIL FIELDS	100	CHARACTER
UNIT AND PHONE FIELDS	10	CHARACTER
_OTH AND COMMENT FIELDS	255	CHARACTER	Limit text to 255 characters
FIRST NAME AND LAST NAME	30	CHARACTER	Limit text to 30 characters
ALL ID FIELDS	36	CHARACTER
ZIP CODE	5	NUMERIC
ZIP CODE LAST FOUR	4	NUMERIC
CITY	50	CHARACTER
DOB AND ALL OTHER DATE FIELDS (E.G., DT, DATE, ETC.)	10	NUMERIC CHARACTER	DISPLAY AS MM/DD/YYYY STORE AS YYYY-MM-DD HARD EDITS: MM MUST EQUAL 01 TO 12 DD MUST EQUAL 01 TO 31 YYYY MUST BE BETWEEN 1900 AND CURRENT YEAR.
TIME VARIABLES	TWO-DIGIT HOUR AND TWO-DIGIT MINUTE, AM/PM DESIGNATION	NUMERIC	HARD EDITS: HOURS MUST BE BETWEEN 00 AND 12; MINUTES MUST BE BETWEEN 00 AND 59

Instrument Guidelines for Participant and Respondent IDs:

PRENATALLY, THE P_ID IN THE MDES HEADER IS THAT OF THE PARTICIPANT (E.G. THE NON-PREGNANT WOMAN, PREGNANT WOMAN, OR THE FATHER).

POSTNATALLY, A RESPONDENT ID WILL BE USED IN ADDITION TO THE PARTICIPANT ID BECAUSE SOMEBODY OTHER THAN THE PARTICIPANT MAY BE COMPLETING THE INTERVIEW. FOR EXAMPLE, THE PARTICIPANT MAY BE THE CHILD AND THE RESPONDENT MAY BE THE MOTHER, FATHER, OR ANOTHER CAREGIVER. THEREFORE, MDES VERSION 2.2 AND ALL FUTURE VERSIONS CONTAIN A R_P_ID (RESPONDENT PARTICIPANT ID) HEADER FIELD FOR EACH POST-BIRTH INSTRUMENT. THIS WILL ALLOW ROCs TO INDICATE WHETHER THE RESPONDENT IS SOMEBODY OTHER THAN THE PARTICIPANT ABOUT WHOM THE QUESTIONS ARE BEING ASKED.

A REMINDER:

ALL RESPONDENTS MUST BE CONSENTED AND HAVE RECORDS IN THE PERSON, PARTICIPANT, PARTICIPANT_CONSENT AND LINK_PERSON_PARTICIPANT TABLES, WHICH CAN BE PRELOADED INTO EACH INSTRUMENT. ADDITIONALLY, IN POST-BIRTH QUESTIONNAIRES WHERE THERE IS THE ABILITY TO LOOP THROUGH A SET OF QUESTIONS FOR MULTIPLE CHILDREN, IT IS IMPORTANT TO CAPTURE AND STORE THE CORRECT CHILD P_ID ALONG WITH THE LOOP INFORMATION. IN THE MDES VARIABLE LABEL/DEFINITION COLUMN, THIS IS INDICATED AS FOLLOWS: EXTERNAL IDENTIFIER: PARTICIPANT ID FOR CHILD DETAIL.

INFANT BEHAVIOR QUESTIONNAIRE-REVISED (3 SUBSCALES) SAQ SPECIFICATION

IBQ01000. Introduction

 

Please read carefully before starting:

As you read each description of the baby’s behavior below, please indicate how often you observed the behavior described.

 

The “Does Not Apply” response is used when you did not see the baby in the situation described.  For example, if the situation mentions the baby having to wait for food or liquids and there was no time during the last week when the baby had to wait, select “Does Not Apply”. “Does Not Apply” is different from “Never”.  “Never” is used when you saw the baby in the situation but the baby never engaged in the behavior listed during the last week.  For example, if the baby did have to wait for food or liquids at least once but never cried loudly while waiting, select “Never”.

 

Please be sure to select a response for every item.

 

The following items are about the last week.

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ02000. During feeding, how often did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ03000/(FEED_QUIET). Lie or sit quietly?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ04000/(FEED_KICK). Squirm or kick?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ05000/(FEED_WAVE). Wave arms?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ06000. During sleep, how often did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ07000/(SLEEP_TOSS). Toss about in the crib?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ08000/(SLEEP_MID_END). Move from the middle to the end of the crib?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ09000/(SLEEP_ONE_POS). Sleep in one position only?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ10000. When being dressed or undressed during the last week, how often did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ11000/(DRESS_WAVE). Wave his/her arms and kick?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ12000/(DRESS_SQUIRM). Squirm and/or try to roll away?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ13000. When put into the bath water, how often did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ14000/(BATH_KICK). Splash or kick?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don't Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ15000/(BATH_SQUIRM). Turn body and/or squirm?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don't Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ16000. When placed on his/her back, how often did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ17000/(BACK_WAVE). Wave arms and kick?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ18000/(BACK_SQUIRM). Squirm and/or turn body?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ19000. When placed in an infant seat or car seat, how often did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ20000/(CARSEAT_KICK). Wave arms and kick?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ21000/(CARSEAT_SQUIRM). Squirm and turn body?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ22000/(CARSEAT_QUIET). Lie or sit quietly?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ23000. How often during the last week did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ24000/(DISTRESS_CHANGE). Cry or show distress at a change in parent appearance (glasses off, shower cap on,etc.)?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ25000/(STARTLE_POS). Startle at a sudden change in body position (e.g., when moved suddenly)?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ26000/(STARTLE_LOUD_NOISE). Startle to a sudden or loud noise?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ27000. The following questions are about the last two weeks. When introduced to an unfamiliar adult, how often did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ28000/(CLING_PARENT). Cling to a parent?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ29000/(REFUSE_UNFAMILIAR). Refuse to go to the unfamiliar person?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ30000/(HANG_BACK). Hang back from the adult?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ31000/(NEVER_WARM). Never “warm up” to the unfamiliar adult?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ32000. When in the presence of several unfamiliar adults, how often did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ33000/(CLING_PARENT_SEV). Cling to a parent?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ34000/(CRY_UNFAMILIARS). Cry?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ35000/(UPSET_10_UNFAMILIARS). Continue to be upset for 10 minutes or longer?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ36000. When visiting a new place, how often did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ37000/(DISTRESS_FEW_MIN). Show distress for the first few minutes?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ38000/(UPSET_10_PLACE). Continue to be upset for 10 minutes or more?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ39000. When your baby was approached by an unfamiliar person when you and she/he were out (for example, shopping), how often did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ40000/(DISTRESS_SHOW). Show distress?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ41000/(UNFAM_OUT_CRY). Cry?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ42000. When an unfamiliar person came to your home or apartment, how often did your baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ43000/(NO_PROTEST_PU). Allow her/himself to be picked up without protest?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ44000/(CRY_PU). Cry when the visitor attempted to pick her/him up?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ45000/(IBQ45000_INTRODUCTION). The following questions are about the last week.  When your baby saw a toy she/he wanted, how often did she/he:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ46000/(SAW_TOY_EXCITED). Get very excited about getting it?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ47000/(SAW_TOY_IMMEDIATE). Immediately go after it?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ48000. When given a new toy, how often did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ49000/(GIVE_TOY_EXCITED). Get very excited about getting it?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ50000/(GIVE_TOY_IMMEDIATE). Immediately go after it?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ51000/(GIVE_TOY_NO_EXCITE). Seem not to get very excited about it?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ52000. How often during the week did your baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ53000/(QUICK_NEW_OBJECT). Move quickly toward new objects?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ54000/(STRONG_DESIRE). Show a strong desire for something she/he wanted?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ55000/(ADULTS_ACT_EXCITE). Seem excited when you or other adults acted in an excited manner around him/her?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ56000. The following questions are about the last two weeks.  When visiting a new place, how often did your baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ57000/(NEW_EXPLORE_EXCITE). Get excited about exploring new surroundings?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ58000/(ACTIVELY_EXPLORE_NEW). Move about actively when she/he is exploring new surroundings?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ59000. When familiar relatives/friends visited, how often did the baby:

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ60000/(FAMILIAR_EXCITE). Get excited?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ61000/(FAMILIAR_INDIFFERENT). Seem indifferent?

Label	Code	Go To
Never	1
Very Rarely	2
Less Than Half the Time	3
About Half the Time	4
More Than Half the Time	5
Almost Always	6
Always	7
Does Not Apply	-7
Don’t Know	-2

SOURCE

Infant Behavior Questionnaire-Revised (3 Sub-scales), © 2000 Mary K. Rothbart, Maria A. Gartstein, All Rights Reserved

IBQ62000. Thank you for participating in the National Children's Study and for taking the time to complete this survey.

FOR OFFICE USE ONLY:

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