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Please complete the following questionnaire

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1) Where was your child born?

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2) What languages does your child and the family speak?

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3) What are the holidays that your child celebrates?

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4) Are there specific dietary preferences, restriction or allergies for your child?

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5) What is a typical meal/snack for your child?

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6) Does your family plan to breast feed/Bottle? Encourage self-feeding?

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7) Does your family co- sleep? Plan on sleep training?

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8) What time does your child go to bed and wake up?

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9) Who lives in the home with they child?

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10) Does your child attend any religious worship? What religion does your family believe in?