12-month Questionnaire for Intervention Group (English)

Balance After Baby Intervention

Attachment 5-I_BABI_12MQuestionnaire_ENG_V1.0

BABI 12 - Month Questionnaire

OMB: 0920-1115

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12-Month Questionnaire

12-Month Demographics

12-Month Medical History Update

12-Month Risk Perception Survey

12-Month Physical Activity

12-Month Sleep

12-Month Breastfeeding

12-Month Social Support

12-Month Edinburgh Postnatal Depression Scale

12-Month Perceived Stress Scale

12-Month Self-Efficacy

12-Month Readiness to Change

12-Month Participant Satisfaction

The Research Assistant will now log
you into the Block© Food Frequency
Questionnaire.

Finally we have a few questions about the Balance After
Baby program as we try to make this as helpful as possible
for women like you:
1) Website: Are you using the website? Tell me what you
think about it.
Prompts:
Which parts of the website did you use?
o Modules? About how many did you watch? o "Tracking My
Weight" tool ?
o "Tracking My Steps" tool?
o Community forum? Tool box?
For each: What do you think about it? What was helpful or
not helpful? Is there anything you want to see added to the
website?
2) Have you Interacted with the lifestyle coach? Tell me what
you think about working with her?
Prompts:
Interaction by email/text/phone?
Did you think the frequency of contact as too much, not
enough or just right? Would you change anything about It?
3) Do you feel like your eating has changed since you started
the study? If so, how?
4) Do you feel like your level of physical activity hes changed
since you started the study? If so, how?
Prompts:
Do you or did you use the Fitbit?
5) Do you feel the program has affected your family? If so,
how?
Prompts:
Shared any part of program with family? Modules? Healthy
eating? Physical activity?
As you know, you will be starting your second year of the Balance after Baby program. You will no longer receive
one-on- one coaching from the lifestyle coach and you will maintain full access to the website. As part of being in
BAB, we believe you have learned the tools necessary for maintaining a healthy and active lifestyle. This second
year will provide you with the opportunity to ask questions on the community forum, watch modules, and explore
more features of the toolbox. The questions you post on the community forum will be ans-red by the lifestyle
coach, as well as other BAB mothers like you. Be mindful that other mothers participating In BAB may have the
same questions you dol You may also find it helpful to watch modules you may not have had time to watch, or re­
watch modules you enjoy.
Thank you for your continued participation.

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The Research Assistant will now log
you into the Block© Food Frequency
Questionnaire.


File Typeapplication/pdf
AuthorGloria Quach
File Modified2017-10-18
File Created2015-10-14

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