Mother and baby survey

Your input is very important to carbon-balanced-baby.org!

It provides us with valuable information used to make sure that we are providing you with the kind of resources you need.

Don't worry about getting on any unwanted lists here, we are not asking you for any personal information other than your zip code. carbon-balanced-baby.org is opposed to spam email. We will never do it, nor will we give your information to anyone who does.

Okay then, so how about taking this survey? It should only take a few moments and we look forward to hearing from you!

Tell us about yourself and your baby!

How old is your baby?

	Over 10yrs and will always be my baby
	5 to 10 yrs old
	3 to 5 yrs old
	18 months to 3 yrs
	Infant to 18 months
	Kickin' back in the womb
	Not yet fertilized

Is that bundle of joy a girl or a boy?

	Girl
	Boy
	In womb, don't know

How many children do you have?

	0
	1
	2
	3
	4
	5
	6
	7+

Is the baby we're discussing here your first child?

	Yes
	No

What kind of diaper do you use, or plan on using?

	Disposables (huggies, pampers, etc)
	Biodegradable Disposables
	Reusable Cotton or Bamboo
	Combination of the above
	Fig leaves

How aware or informed are you of environmental issues such as greenhouse gases and global warming?

	Don't know much about it
	I know a little bit, but don't ask...
	I know a fair amount, lets talk!
	I feel I know a bit more than most
	I'm an atmospheric bioscientist

Are you interested in learning more about your baby's impact on the environment?

	No, I just take surveys for fun
	A little interested
	Just tell me how I can help,I'm kinda busy...
	I'm interested in learning more
	I want to help and learn more
	I already know and help enough, thank you!

Do you currently take steps to improve your baby care's environmental impact?

	Yes
	No
	When its convenient
	I would if I knew more

Do you purchase any of the following products? (click all that apply)

	Organic foods
	Organic clothing
	Organic lotions, skin care, etc.
	Organic baby care products
	Biodegradable diapers
	Biodegradable food storage bags
	Other biodegradable products

If, or when, you do not buy organic or biodegradable products, tell us why? (click all that apply)

	Not easily availble in stores
	Price was not right
	The products don't work/taste as good
	I don't think it makes a difference

How often do you, or do you plan to, feed your baby breast milk?

	Every possible opportunity
	Mostly breast milk but some formula
	50-50 breast milk / formula
	Mostly formula, occaisonal breast feeding
	Formula only

If you have a toilet-trained child, how old was the child when they learned?

	Under two years old
	24 to 30 months old
	30 to 36 months old
	3 to 4 years old
	5+ years old

Zip/Postal Code

Please remember to click "submit" above and thank you!

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