nicole kotras masters thesis
nicole kotras masters thesis
nicole kotras masters thesis
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Biographical questionnaire for parents<br />
1. Date<br />
2. Name of child<br />
3. Address<br />
APPENDIX D<br />
4. Phone number (h) (w)<br />
5. Home language<br />
6. Creche/pre-school/school/other attending<br />
7. Child's date of birth<br />
8. Child's age<br />
9. Child's sex<br />
10. Standard (if applicable)<br />
11. Religion<br />
12. Mother's age<br />
13. Father's age<br />
None<br />
Primary school<br />
occupation<br />
educational qualifications<br />
occupation<br />
Junior certificate (Std. 8)<br />
Apprenticeship<br />
Matric<br />
Further training (not at university)<br />
University degree/diploma<br />
educational level (Please tick the appropriate block below)<br />
14. Birth history. Please describe anything unusual about your pregnancy or delivery<br />
15. Was the birth<br />
Natural ?<br />
Induced ?<br />
by caesarean section ?<br />
a forceps delivery ?<br />
16. Was your child anoxic (i.e., was s/he a blue baby and lacked oxygen) at birth ?<br />
17. Was your child born either prematurely or after more than 41 weeks of pregnancy? If so,<br />
please indicate after how many weeks<br />
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