PARENTS ENGAGING BABIES WITH LANGUAGE SURVEY










SECTION 1:  YOUR INTERESTS AND HOMELIFE 

1. Do you get a newspaper at home?                                                                                                       

    a. If you do get a newspaper at home, how often during the week do you read the newspaper?

    b. If you do get a newspaper at home, about how many minutes do you usually read it?



2. Do you have any magazines in your home?                                      

    a. How many different ones do you have? 

    b. How often during a week do you usually read magazines at home?

    c. When you read magazines, how many minutes at a time do you usually read?




3. Do you ever read books for enjoyment?                                                                                               

    a. How often during the week do you read a book at home?

    b. When you read a book, how many minutes at a time do you usually read? 

    c. What kind of books do you like to read the most?

    d. What format(s) do you use? 




4. How many total books (for any age reader) do you have in your home?                                             

    a. Where do you get most of the books you have? (check all that apply)





5. Do you ever visit your local library?                                                                                                     

a. How often do you go to the library?

b. When you go to the library, do you:  (check all that apply)




6. Do you ever take your child with you to the library? 



7. What are some of the ways you use your smart phone?  (check all that apply)









8. Do you own an ipad, tablet, or computer (laptop or PC) at home?                                 

    8a. What are some of the ways you use your tablet or computer? (check all that apply)









9. How many TOTAL hours do estimate you actively use your smart phone, tablet, and/or
    laptop during a typical day, excluding any time you spend at work or at school?








SECTION 2: THINGS YOU DO WITH YOUR BABY


1. How often during a typical week do you tell or recite nursery rhymes to your child? 
                                                                                (For example: Baa Baa Black Sheep)


2. How often during a typical week do you play lap games with your child? 
                                                          (For example: Pat-a-Cake, Peek-a-Boo)


3. During a typical week, how often do you sing to your child?


4. During a typical week, how often do you read to or share books with your child?

​    a. When you read your child a book, how many minutes at a time do you usually read? 


5. In your opinion, at what age should a parent begin reading to their child?


6. Do you have any books that are specifically for your child?                                                           

    a. How many books for your child would you say you have?


7. Does your child receive FREE books from any local program? 

     a.   If yes, which program?

                 Reach Out and Read   (At the doctor’s office during their well child visits)
        
                 Dolly Parton’s Imagination Library (in the mail each month)

                 Other


8. Where do you think one of your child's books might be, right now, in or around your home?    (check all that apply)



              bathroom

              kitchen
9. Does your baby’s doctor tell you reading is something you should do with him/her every day? 


10. Do you sit on the floor with your child and play with them and their toys? 


11. Do you use any kind of puppets to play with your baby? 
     (store bought, just socks, or pretending stuffed animals talk) 

12. When you and your child go to the home of a family member or friend, are there any age-appropriate 
          TOYS there that they can play with? 

13. When you and your child go to the home of a family member or friend, are there any age-appropriate 
          BOOKS there that you or others could read to them? 


          If your child is 24 months and older, answer these 3 questions before moving to Section 3 


FOR CHILDREN 24 MONTHS AND OLDER


14. Do you and your child play with small plastic or wooden letters or numbers? 


15. Do you help or show your child how to scribble or draw with markers or crayons? 


16. Do you play make believe with your child, like with tea parties, dress up, or playing doctor? 

SECTION 4:  HOW YOU FEEL ABOUT READING TO YOUR CHILD


1. Sitting with my child and reading a book is one of the best parts of my day. 

2. It’s always fun when we look at books together.

3. I enjoy sitting and reading with my child.

4. Reading him/her one book at a sitting is more than enough for me.

5. I don’t like it when s/he tries to touch or grab the book.

6. Sitting down to read with them is sometimes hard. 

7. I wish I had more time to read with him/her.

8. I try to get through the book as fast as possible.

9.  I can’t seem to get around to reading to him/her.

10. I really don’t see why I need to read to him/her. 

11. I'm too tired much of the time to read to him/her.    

12. I think my child is really too young to get much out of it. 

13. I just don't read that well, so I try to avoid it. 

14. I don’t know what kind of books I need for her/him.








            If your child is 18 months and older, answer these 3 questions before going to Section 5 



QUESTIONS IF YOUR CHILD IS 18 MONTHS OR OLDER

16. It's annoying when my child wants me to read a book over and over again.

17. I keep books up high because my child will get into them and mess them up.

18. If my child runs off while I’m reading, I get mad.



 If NO, go to Ques. 2
 If NO, go to Ques. 3
 If NO, go to Ques. 4
 If NONE, go to Ques. 5
 If NO, go to Ques. 7
If NO, go to Section 2
Directions:  Please complete every question as directed.  Some sections have questions that are only appropriate if your child is 18 or 24 months or more.  If your child is younger than that, simply skip those and go to the next section.      
Go to Section 3
If NO, or do not know
go to Section 4
If NEVER, 
go to Ques. 5
If NO, go to Ques. 9
If NO, go to Section 4

SECTION 5: THINGS YOU DO WHILE READING WITH YOUR CHILD

1. We sit together and snuggle when I read to him/her.

2. I read to him/her more than once a day.

3. Before I start, I say the title of the book and point to it on the cover.

4. I point things out on the page and talk about them.  

5. I’ll ask a question about the book, but then answer the question myself.

6. We use an ipad/tablet to read books together.

7. I’ll hand him/her my phone or tablet to keep him/her busy.

8. I finish the book even if s/he doesn’t seem interested.

9. I use funny voices or make the sounds mentioned in the book.

10. I tell him/her to “shush” if they interrupt me while I’m reading.

11. If there are characters in the story, I talk about what they might be feeling.

12. When I read, I’ll stop to talk about things on the page or in the story.

13. I’m always trying to keep him/her from putting the book in his/her mouth.

14. I encourage him/her to turn the pages.

15. I read him/her a story at bedtime.


    If your child is 24 months and older, answer these 5 questions before going to Section 6



16. If I keep reading when my child runs off, he/she eventually 
      comes back to hear more or look at the book .

17. I ask my child to find something on the page by touching or pointing to it.

18. I point out words to my child as I read them aloud.  

19. I don’t read two books or stories in a row, even if s/he asks me to.

20. At the end of a story, I’ll ask my child what s/he thinks will happen 
     next if the story continued.
SECTION 6: YOUR CHILD AND READING            (Complete only if child is 24 months and older)

1.  My child really enjoys books.

2.  We laugh a lot when we read together.  

3.  My child likes books as much as toys.

4.  My child has a favorite book.

5.  My child repeats some of the words when I’m reading a book.

6.  If I skip something in the book, my child insists I go back and do it or read it.

7.  My child brings a book to me to read to him/her.

8.   My child completes sentences as I read them in the book.

9.   My child wants to read a particular book over and over again. 

10. My child has memorized an entire book and pretends to read it by saying the
      words and turning the pages.





SECTION 3: A TYPICAL DAY

1. During a typical day, do you have a TV on in your home? 

    a. How many hours is the TV on, even if no one is watching it?


2. How many times during a typical hour do you think you talk TO, or say something to your child? #


3. How often would you say that you look for a response from them before you say
    something else? (For example: Eye contact, vocalization, gesture, word, phrase)


4. How often do you point out things to your child and talk about them?

    a. Where do you sometimes/often point things out and talk to your child about?


5. Is your child regularly cared for by someone else?                                                                                               
                                       
    a. Who cares for them?

    b. Are they paid?

    c. Do they also care for other children when your child is there? 

6. Does your childcare provider usually have a TV on when you drop your child off? 

7. Do you know if they have a TV on during other parts of the day?                                

   a. About how many hours do you think a TV is on during the day?

8. Does your childcare provider have a story time or read to your child during the day?              

    a. When your caregiver reads, do they: 

    b. Does your caregiver have a shelf, basket, or book corner where children can
       go to pick out a book, or look at books on their own? 

Go to Section 5
If your child is less than 24 months, you are done here!   Follow the arrow and click on SUBMIT!
Click on SUBMIT!
One last step!  Clicking this button will give you a link to a brief opinion poll.
15. Over the past 2 weeks, how often have you been bothered by any of the following problems?  

     a. Little interest or pleasure in doing things

     b. Feeling down, depressed, or hopeless.

Moms' First Name                                               Last Name                         (first initial)

Baby's First Name                                               Date of Birth
If you NEVER read to your child, begin this section at 
Ques. 9
Attend children's programs
stroller
your purse/backpack
playpen
kitchen
family room
diaper bag
crib
changing table
car
your bedroom
bathroom
Keep or take notes
Use calendar
Listen to music
Watch shows/sports
Read books
Get news/weather
Upload photos/videos
Take photos/videos
Use maps
Research/look things up
Shop
Play games
social media
Skype/ or Facetime
email
Text
Keep or take notes
Use calendar
Listen to music
Watch shows/sports
Read books
Get news/weather
Upload photos/videos
Take photos/videos
Use maps
Research/look things up
Shop
Play games
social media
Skype/ or Facetime
email
Calls
Text
Do research
Read magazines/newspapers
Get help with reading
Use computer
Check out books
Borrow
Buy used
Buy new online
Buy new at store