Influence of Maternal Prenatal Vitamin D Status on Infant Oral Health

How do you get to and from shopping for groceries? Walk Drive Bus Taxi Friend
Where do you buy most <strong>of</strong> your family’s food?
Supermarket (Safeway, IGA, Superstore, etc) Convenience store (7-11, Macs)
Community grocery store
Corner store
Foodbank Family or friends Other:__________________
Do you only buy what you can carry in one trip? Yes
No
Do you only buy what is available at your nearest food store? Yes No Sometimes
Do you bring your children with you when you shop for food? Yes No
If yes, does this limit what you can buy during that shopping trip? Yes No
Are you the main shopper for food in your family? Yes No
Are you using a foodbank right now? Yes No
If yes, which foodbank? ____________________________________________________________
If no, do you think might use a foodbank during this pregnancy? Yes No
Are able to buy all the foods you’ll need to be healthy during this pregnancy? Yes No
Do you go to or ever been to a “Healthy Baby” community program (e.g. Healthy Start Mom &
Me)? Yes No
Have you heard about the “Healthy Baby” Manitoba <strong>Prenatal</strong> Benefit? Yes
No
Are you getting the new “Healthy Baby” Manitoba <strong>Prenatal</strong> Benefit” from the Province <strong>of</strong> Manitoba
right now? Yes No
Never
Rarely (less than once a week)
Sometimes (once a week or more, but less than once a day)
Often (once a day or more)
Do you drink milk? Never Rarely Sometimes Often
Do you cook with milk? Never Rarely Sometimes Often
Do you use milk with cereal? Never Rarely Sometimes Often
Do you use milk in c<strong>of</strong>fee or drinks? Never Rarely Sometimes Often
In your opinion is milk a good source <strong>of</strong> calcium and vitamin D? Yes No Unsure
What kind <strong>of</strong> milk do you use at home? Homogenized 2 % 1%
Skim Buttermilk Powdered Soy milk (fortified) Calcium enriched milk
Does milk or other milk products (e.g. yogurt, cheese) upset your stomach? Yes No
If yes, does this mean you eat less <strong>of</strong> them? Yes No
Have you been using more milk and milk products now that you are pregnant? Yes
No
Questionnaire Version 8 – May, 2002 Page 3 <strong>of</strong> 7