What types of activities does <child’s name> enjoy? Text box Contents of text box go Rapport 4a. to S portion of care plan. 4b. Text box, 99, Numeric PedNSS ___# hours of TV watching/video playing per day 4c. Does anyone living in your household smoke inside Radio buttons: PedNSS, Risk 904 the home? Yes No Bottom Panel What kinds of activities do you and your family do Conversation together? starter Nutrition Practices # Question Response Action Purpose Main Panel 5a. Breastfeeding description List box If No Longer BF, then Needed for system Excl BF enable 5b and 5c, participant profiles, Prim Excl BF / No WIC required if <24 multiple reports Excl / Comp months of age. PedNSS, PC Part BF Report BF Child No Longer BF Never BF 5b. How old was <child’s name> when he/she Text box Bring this value forward CDC data completely stopped breastfeeding or being fed # of (acceptable values on subsequent collection related to breast milk? between 0-260) interviews. breastfeeding Required if Breastfeeding duration. description = No Longer BF. 5c. What was your reason for stopping breastfeeding? List box Bring this value forward Data collection for State defined list of reasons on subsequent MPSC interviews. breastfeeding Required if Breastfeeding ceased reason description = No Longer report. BF.
4a. What types of activities does <child’s name> enjoy? Text box Contents of text box go to S portion of care plan. Rapport 4b. Text box, 99, Numeric ___# hours of TV watching/video playing per day PedNSS 4c. Does anyone living in your household smoke inside the home? Radio buttons: Yes No PedNSS, Risk 904 Bottom Panel What kinds of activities do you and your family do together? Conversation starter Nutrition Practices # Question Response Action Purpose Main Panel 5a. Breastfeeding description List box Excl BF Prim Excl BF / No WIC Excl / Comp Part BF BF Child No Longer BF Never BF If No Longer BF, then enable 5b and 5c, required if <24 months of age. Needed for system participant profiles, multiple reports PedNSS, PC Report 5b. How old was <child’s name> when he/she completely stopped breastfeeding or being fed breast milk? Text box # of (acceptable values between 0-260) Bring this value forward on subsequent interviews. Required if Breastfeeding description = No Longer BF. CDC data collection related to breastfeeding duration. 5c. What was your reason for stopping breastfeeding? List box State defined list of reasons Bring this value forward on subsequent interviews. Required if Breastfeeding description = No Longer BF. Data collection for MPSC breastfeeding ceased reason report.