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Survey Topics
Access to health care
Quality of care
Alcohol, drug, and tobacco use
Birth control and pregnancy intention
Breastfeeding
Co-sleeping
Education
Environmental exposures
Folic acid use
Food insecurity
Intimate partner violence
Maternal medical conditions and obstetrical history
Neighborhood cohesiveness and characterization
Perceived racism
Physical activity
Postpartum and well-baby checkups
Preconception planning
Prenatal care access, content, and satisfaction
Stress, coping, and social support
Sources of Questions
The questions were primarily drawn or adapted from several validated state and national surveys (e.g., Maternal and Infant Health Assessment [MIHA], a collaborative project of the California Department of Public Health (Maternal, Child and Adolescent Health Program) and the Department of Family and Community Medicine at UC San Francisco; CDC’s Pregnancy Risk Assessment Monitoring System [PRAMS]).
Survey Instruments
· 2004 Antelope Valley Pilot Survey Instrument
· English
· Spanish
· 2005 Countywide Survey Instruments
· English
· Spanish
· Chinese
· 2007 Countywide Survey Instruments
· English
· Spanish
· Chinese
· 2010 Countywide Survey Instruments
· English
· Spanish
· Chinese
The surveys are in pdf format. You need Adobe Acrobat Reader to open the files. If you do not have the software, please download the software.
Printing instruction: Please print surveys double sided using 8"X14" legal size papers.