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About This Survey


Author: stemny
Created: May 14, 2012
Taken: 69 times
Rated: G

Survey Tags - Tag Cloud


babies   children   daddy   kids   mommy   parenting   parents  

The Ultimate Mommy Survey

Created by stemny and taken 69 times on Bzoink
Click to view users that took this survey

Complete separately for each child!
Enjoy :)
I.) THE PARENTS
A.) Mommy
First Name:
Initials:
Current Age:
Age when child was born:
Single, Dating, or Married?
Eye Color:
Hair Color:
Height:
Body Type:
Religion:
Month of Your Birthday:
Number of Kids:
Kids Current Ages:
B.) BIOLOGICAL DADDY
First Name:
Initials:
Current Age:
Age at Child's Birth:
Eye Color:
Hair Color:
Height:
Body Type:
Religion:
Month of Birthday:
Number of Kids:
Still together?
If not, why?
How much is he involved with the kid?
C.) NON-BIOLOGICAL DADDY
(if you are dating someone else who is raising the kid as their own)
First Name:
Current Age:
Age of him & your child when he came into your life:
Religion:
Any kids of his own?
How did you meet?
How does he get along with your kid?
How does the biological father feel about it?
II.) LIFE BEFORE BABY
Did you think you wanted kids?
Did you ever babysit/work with kids?
Did you party a lot?
Smoke?
Drink?
Do drugs?
What were your favorite things to do/hobbies?
How did you meet the baby's father?
III.) PREGNANCY
What was the 1st clue that you were pregnant?
How did you feel when you found out?
How long did you wait to tell the dad?
How did he initially react?
Were you dating, married, or not together at the time?
Was the baby a surprise, or were you trying to get pregnant?
How long before you told your friends?
What about family?
Were you nervous to tell anyone?
If so, why?
Did anyone's reactions surprise you?
If so, what happened?
Did you ever consider abortion or adoption?
If so, what made you change your mind?
Were you living with your parents, the dad, or on your own?
Were you working/in school?
Did you have to "shop around" for the right OB?
Did you find out the gender before birth?
Describe how you felt when you first saw the baby on an ultrasound:
Was the dad there?
Were there ever suspicions that something was wrong with the baby?
If something WAS wrong, did you question going through with the pregnancy?
How far along were you when you started to show?
Ever took pictures of your pregnant tummy?
Were you a smoker when you found out that you were pregnant?
If so, how long before you stopped smoking?
Did you ever drink during pregnancy?
What about drugs?
If you did any of the above, did your OB know?
Did you take prenatal vitamins?
Did you ever have morning sickness?
What about gestational diabetes, swollen feet, etc?
Do you have any genetic probs. you were afraid would pass on to the baby?
If so, did they?
Did you ever cry about silly things because of hormones?
If so, tell me about one instance:
Did you have any weird cravings? For what?
If you worked, when did you go on maternity leave?
Did you go to lamaze classes?
Wasn't it amazing when the baby kicked?
Did people ask to rub your belly?
Did you ever dream about the baby?
If so, what kind of dreams?
Do you miss being pregnant?
What was your expected due date?
Did you ever get hurt or injured while pregnant?
Did you read baby books/magazines?
Top 3 boy names you liked:
Top 3 girl names you liked:
IV.) THE BABY SHOWER
Did you have just one, or more?
How far along were you?
Did the dad attend?
How many people attended?
Did you have activities/games planned?
What was your favorite gift?
What gift ended up being the most helpful?
Did you get anything that you never used?
Did you have a diaper cake?
V.) LABOR
Where were you when you went into labor?
What were you doing at the time?
Were you alone?
How long before you went to the hospital?
How did you get there?
How did you feel? (nervous, excited, scared, etc)
VI.) BIRTH
Did you give birth before, after, or on your due date?
Who all came to the hospital and waited in the lobby?
Who stayed in the room during birth?
Did anyone film the birth?
What kind of birth was it (C-section, vaginal, water birth, etc)
Did you have an epidural?
If yes, did you still find labor/delivery painful?
If no, did you regret not having it?
Did you have an episiotomy?
Was your OB there, or did you have an on-call doctor?
Were there any complications during/after delivery?
Did you curse anyone out during labor? Scream/cry?
How long were you in labor before you started pushing?
How long were you pushing before the baby was born?
What time was it when the baby was delivered?
How long before you first got to hold the baby?
Did you have any injuries from labor and delivery?
VII.) THE BABY AT BIRTH
Name:
Initials:
Whose last name did the baby keep?
Birth weight:
Bald, a little hair, or a full head of hair?
Eye color at birth:
Did it change later?
Hair color:
Features inherited from mommy:
Features inherited from daddy:
VIII.) HOSPITAL STAY
How long did you stay in the hospital?
Did the baby have to stay longer?
Did they baby stay with you the whole time, or go into the nursery?
Did the baby have to go into the NICU?
Did you have any issues with the hospital or nurses?
When it was time to go home, were you excited or scared?
Did anyone stay at the hospital with you?
Who all came to visit in the hospital?
IX.) NEWBORN
Was he/she an easy baby?
Did they have colic?
Breastfed or formula?
If breast, did you have any problems with nursing?
Did baby use a pacifier?
If so, what word did you use for it?
Cloth or disposable diapers?
Where did the baby sleep?
Did the belly button ever make you nervous?
If it was a boy, was he circumsized?
Did you bring them to the hospital often?
What was the hardest thing to adjust to?
Something funny you did because of sleep deprivation:
Something cute they did as a newborn:
Do you remember the first real smile?
How often did you do tummy time, and when did you start?
How old were they when you finally felt comfortable leaving them w/ someone
Who, besides dad, helped the most at this age?
How long before you went back to work?
What about dad?
How well did siblings/pets adjust to the baby?
Did you ever use a baby sling?
What about a walker?
Anything scary happen to/with the baby at this age?
Did they ever have febrile seizures?
Stop breathing?
Cutest outfit at this age:
Where was baby's first outing to?
When did you start transitioning to solids?
What was baby's reaction?
What was their favorite first foods?
Did they get sick often?
First word:
Second word:
Were they baptized?
X.) TODDLER
Age first crawled:
Age first walked:
What was their favorite thing to do at this age?
Foods they loved?
Foods they hated?
Who (besides mom and dad) was their favorite person?
What about best baby friend?
Did they attend daycare? At what age?
Did you fill in one of those baby scrapbook things?
If so, did you finish it, or give up on it?
Did they watch TV as a toddler?
If so, what were their favorite shows?
What was their bedtime routine?
What time was bedtime?
What time did they wake up in the morning?
Did they enjoy bathtime?
How old were they when they first went "swimming"?
First swimming lessons?
Did you ever enter them into a modeling contest?
What about dance classes?
What were their favorite songs?
Favorite animals?
Favorite place to go?
Did you go to the park a lot?
What about take baby to restaurants?
What were your favorite crafts to do together?
Did you ever color in their coloring books for your own enjoyment?
Were they social, or more reserved?
Did you ever use a "leash"?
Ever had a problem with a babysitter?
Were they gentle with animals, or a little too rough?
Did they ever get bit by an animal?
What about another kid?
Were they biters/hitters?
Any allergies?
At what age did they potty train?
How hard was potty-training for you?
How long did it take?
Was there any punishment for not using the potty?
What was their reward for using it?
What were their favorite outdoor activities?
Favorite indoor activities?
Any major behavioral issues?
Health issues?
Any friends/relatives they just did not like?
Some funny things they did at this age:
Some cute things they did at this age:
A scary event that happened at this age:
Did you spank them at this age?
What about yell at them?
What one thing did they eat most often?
Did they get candy/chips/sweets?
What about soda?
Fast food?
Were they overweight or underweight?
Did they pick up any bad words from you?
Sing along with mainstream radio?
Did you ever give them Benadryl so you could get some sleep?
What about take them on vacation?
What was their comfort item?
XI.) PARENTING STYLE
Would you say you are more lenient or strict?
Were you ever a single parent?
Worked or stayed at home?
Did you and your partner ever fight about how to do something "right"?
Anyone ever criticized your parenting?
Who, and what did they say?
What was the best compliment you received about parenting/child's behavior?
Did you ever discipline someone else's kid?
What was your main way of disciplining?
How often were you guilty of using the TV as a distraction?
XII.) DID YOU EVER
Fight/argue in front of them?
Accidentally break/lose a toy?
Give in to a fit?
Make a myspace/facebook under your child's name?
Use WIC?
Foodstamps/welfare?
Take them to Disney World?
Take them overseas or on a plane?
Get in a car wreck with them in the car?
Let them miss school when they weren't really sick?
Get them their own pet?
Rent a Fun Jump/jump castle for their birthday?
Bake a cake/cookies with them?
Smoke around them?
Enter them into sports?
Take them to a public pool?
Move after they were born?
Write them a letter to give them when they are older?
Take them to a museum?
Take out a life insurance policy?
Write a will?
Get a kids song stuck in your head?
Watch Youtube together?
Download a game for them on your phone?
Get walked in on during an intimate moment?
Lie to a pediatrician?
Get a second opinion from another doctor?
Call CPS on someone?
Get dirty looks when your kid threw a fit?
XIII.) FIRSTS
Halloween Costume:
Pet:
Vacation:
Death they experienced:
Formal event they attended:
Coherent drawing:
Professional picture:
XIV.) MEMORIES
Are most of your photos o them developed or digitally stored?
Did you keep a journal of moments you don't want to forget?
Do you make home videos?
Do you have any of their old toys/clothes in storage?
What about things they've made (drawings, etc)?
Do you send family photos as Christmas cards?
Do you have framed photos of them displayed in your house?
How about at work?
In your wallet?
Do you still have their ultrasounds?
Did you keep their first lock of hair/tooth?
Did you get a tattoo for them?
XV.) EXPERIENCES
Tell me about something that happened related to the following.
A time when you felt extremely proud:
A heartbreaking moment:
A time you look back on and regret your actions:
Something your kid did that had the whole room laughing:
Something they did that surprised you:
Something incredibly sweet that they did:
An event that made you angry:
A moment you wish you had recorded:
A bad holiday experience:
A moment you would erase:
A strange dream you had about your kid:
A time you regretted buying a toy:
A funny moment involving your kid and their friends:
An awkward moment:
Worst place you had to change a diaper:
A moment involving your kid and an animal:
XVI.) SOUNDTRACK
A song that describes the labor/birth:
A song that describes the kid's relationship with dad:
A song that describes your relationship with dad:
Song you'd dedicate to your kid:
Last song you listened to with your kid:
Kid's current favorite song:
Song you sang to them at bedtime the most:
Lyric that they always get wrong:
A song by an artist with the same first name as your child:
Song that has your kids name in the lyrics:
XVII.) OPINIONS
Breastfeeding in public:
Vaccinations:
Teach them your religion, or let them discover their own?
Teenagers having babies?
Abortion?
Gay Parents:
What would you do if your child told you they were gay?
Leashes for kids:
Pit bulls and kids:
Smoking while pregnant:
Feeding kids fast food:
Letting toddlers watch TV:
Homeschooling:
Ear piercings for toddlers:
XVIII.) COUNTDOWN
10 Places You'd Like To Take Your Kids Someday
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
9 Favorite Things To Do Together
1:
2:
3:
4:
5:
6:
7:
8:
9:
8 Things You've Learned Since Becoming A Mom
1:
2:
3:
4:
5:
6:
7:
8:
7 Favorite Memories
1:
2;
3:
4:
5:
6:
7:
6 People Who Have Helped You Out The Most
1:
2:
3:
4:
5:
6:
5 Quotes From Your Child
1:
2:
3:
4:
5:
4 Things You Want To Say To Your Child
1:
2:
3:
4:
3 Bad Habits Your Child Has
1:
2:
3:
2 Good Pieces of Advice for Other Parents
1:
2:
1 Favorite Physical Feature of Your Kid
1:
OPTIONAL:
Link to a picture of your child: