These first questions are about the time just before you got pregnant with your baby who was just born.

2. Just before you got pregnant, did you have a particular doctor, nurse, or clinic that you usually went to if you wanted health care?
   • Yes
   • No
3. How would you rate your health just before you got pregnant?
   • Excellent
   • Very good
   • Good
   • Fair
   • Poor
4. During the month before you got pregnant, did you have Medi-Cal, private insurance, or some other health insurance plan for your own health care, or were you uninsured? Check ALL that apply.
   • Medi-Cal
   • A health plan paid for by Medi-Cal
     (Name of plan: ______________________)
   • Private insurance (paid for by me, someone else, or through a job)
     (Name of plan: ______________________)
   • Other 
     (Name of plan: ______________________)
   • I did not have Medi-Cal or any other health insurance during the monthbefore I got pregnant
5. During themonth before you got pregnant with your new baby, how many times a week did you take a multivitamin, a prenatal vitamin, or a folic acid vitamin?
6. I didn't take a multivitamin, prenatal vitamin, or folic acid vitamin in the month before I got pregnant
   • 1 to 3 times a week
   • 4 to 6 times a week
   • Every day of the week
7. Before you got pregnant, did a doctor, nurse or other health care worker ever tell you that you had any of the following health conditions?
   • Diabetes (high blood sugar)
     
   • Hypertension (high blood pressure)
     
   • Asthma
     
   • Depression
     

Now, we have a few questions about your experiences when you were pregnant with your baby who was just born.

8. During your most recent pregnancy, did you have someone you could turn to if you needed practical help, like getting a ride somewhere, or help with shopping or cooking a meal?
   • Yes
   • No
9. During your most recent pregnancy, did you have someone you could turn to if you needed someone to comfort or listen to you?
   • Yes
   • No
10. During your most recent pregnancy, did you visit a dentist, dental clinic, or get dental care at any other health clinic?
    • Yes
    • No
11. During your most recent pregnancy, did you get a flu shot?
    • Yes
    • No
12. During your most recent pregnancy, did you receive a Tdap vaccination or shot? A Tdap vaccination is a shot that protects against tetanus, diphtheria, and pertussis (whooping cough).
    • Yes, I got a Tdap shot during my pregnancy
    • No, but I got a Tdap shot in the hospital after I delivered
    • No, I did not get a Tdap shot
    • I do not remember
13. During your most recent pregnancy, were you given information about “warning signs" you should watch for during and after your pregnancy that require medical care right away? Some of these warning signs include fever, a headache that will not go away or gets worse, severe belly or chest pain, or trouble breathing.
    • Yes, I was given information about warning signs
    • No, I was not given information about warning signs

The next few questions are about your feelings and experiences when you were pregnant with your baby who was just born.

14. During your pregnancy, how often did you feel down, depressed, or hopeless?
    • Always
    • Often
    • Sometimes
    • Rarely
    • Never
15. During your pregnancy, how often did you have little interest or little pleasure in doing things you usually enjoyed?
    • Always
    • Often
    • Sometimes
    • Rarely
    • Never
16. During your pregnancy, how often did you feel nervous, anxious, or on edge?
    • Always
    • Often
    • Sometimes
    • Rarely
    • Never
17. During your pregnancy, how often were you not able to stop or control worrying?
    • Always
    • Often
    • Sometimes
    • Rarely
    • Never
18. During your pregnancy, did you fill out a form or were you asked a series of questions from a doctor, nurse, social worker, or other professional about feeling down, depressed, anxious, or irritable?
    • Yes
    • No
      
19. Here are a few things that might happen to some people during pregnancy. Please tell us if these things happened to you during your most recent pregnancy.
    • A.  I got separated or divorced from my spouse or partner
      
    • B.  I had a lot of bills I couldn't pay
      
    • C.  I had to move because of problems paying the rent or mortgage
      
    • D.  I did not have a regular place to sleep at night (had to move from house to house)
    • E.  I was homeless (had to sleep outside, or stay in a car or a shelter)
      
    • F.   My spouse or partner lost their job
      
    • G.  I lost my job even though I wanted to go on working
      
    • H.  My partner or I had our pay or hours cut back
      
    • I.   My partner or I went to jail
      
    • J.   Someone very close to me had a bad problem with drinking or drugs
      

Now, we have a few questions about smoking before, during, and after your pregnancy with your baby who was just born.

20. Have you smoked any cigarettes in the past 2 years?
    • Yes
    • No à Skip to question 23 on the next page
21. During the 3 months before you got pregnant, how many cigarettes or packs of cigarettes did you smoke on an average day?(A pack has 20 cigarettes.)

    _________cigarette(s)1 OR   _________pack(s)2

    • Less than one cigarette a day
    • I didn't smoke at all during the 3 months before I got pregnant
22. During the last 3 months of your pregnancy, how many cigarettes or packs of cigarettes did you smoke on an average day? (A pack has 20 cigarettes.) _________cigarette(s)1 OR   _________pack(s)
• Less than one cigarette a day
• I didn't smoke at all during the last 3 months of my pregnancy
23. How many cigarettes do you smoke on an average daynow? (A pack has 20 cigarettes.)

    _________cigarette(s)1 OR   _________pack(s)2

    • Less than one cigarette a day
    • I don't smoke at all now

The next questions are about drinking alcohol. By "drinks with alcohol" we mean any kind of drink with alcohol in it.  A drink is one glass of wine, one wine cooler, one can or bottle of beer, one shot of liquor, or one mixed drink.

24. Have you had any drinks with alcohol in the past 2 years?
    • Yes
    • No à Skip to question 28
25. During the 3 months before you got pregnant, about how many drinks with alcohol did you have in an average week?
    •  I didn't drink at all during the 3 months before I got pregnant
    • Less than one drink per week
    • 1 to 3 drinks per week
    • 4 to 7 drinks per week
    • 8 to 13 drinks per week
    • 14 or more drinks per week
26. During the 3 months before you got pregnant, how many times did you drink 4 or more drinks with alcohol in one sitting? (By one sitting we mean within about two hours.)___________ times
    • I didn't drink 4 or more drinks in one sitting in the 3 months before I got pregnant

The next two questions are about drinking alcohol during your pregnancy with your baby who was just born.

27. During the last 3 months of your pregnancy, about how many drinks with alcohol did you have in an average week?
    • I didn't drink at all during the last 3 months of my pregnancy
    • Less than one drink per week
    • 1 to 3 drinks per week
    • 4 to 7 drinks per week
    • 8 or more drinks per week
28. During your most recent pregnancy (including before you knew you were pregnant for sure), how many times did you drink 4 or more drinks with alcohol in one sitting? (By one sitting we mean within about two hours.) ___________ times
    • I never drank 4 or more drinks in one sitting during my pregnancy

Now, we have a few questions about using marijuana during and after your most recent pregnancy.

29. During your most recent pregnancy, did you use marijuana or weed in any way (like smoking, eating, or vaping)?
    • Yes
    • No
30. Since your most recent birth, have you used marijuana or weed in any way (like smoking, eating, or vaping)?
    • Yes
    • No        à Skip to question 31 on the next page
31. During the past 30 days, on how many days did you use marijuana in any way?___________ days
    • I didn't use marijuana in any way during the past 30 days

The next questions are about relationships with intimate partners during your most recent pregnancy. By “partner" we mean current or former spouse, partner, boyfriend, or girlfriend. Please remember that all the information in this survey is completely confidential.

32. During your most recent pregnancy, were you ever frightened for the safety of yourself, your family, or your friends because of the anger or threats of your current or former partner?
    • Yes
    • No
      
33. During your most recent pregnancy, did your current or former partner try to control most or all of your daily activities?  For example, controlling who you talked to or where you could go?
    • Yes
    • No
34. During your most recent pregnancy, did your current or former partner push, hit, slap, kick, choke, or physically hurt you in any way?
    • Yes
    • No
35. During your most recent pregnancy, did your current or former partner force you into any type of unwanted sexual activity after you said or showed that you did not want them to?
    • Yes
    • No

Now, we have some questions about your health insurance coverage during your pregnancy.

36. During your most recent pregnancy, did you have Medi-Cal, private insurance, or some other health insurance plan to pay for your prenatal care? Check ALL that apply.
    • Medi-Cal
    • A health plan paid for by Medi-Cal 
      (Name of plan: ______________________)
    •  Private insurance (paid for by me, someone else, or through a job)
      (Name of plan: ______________________)
    • Other
      (Name of plan: ______________________)
    • I did not have Medi-Cal or any other health insurance to pay for my prenatal care
37. During your most recent pregnancy, was there any time when you had no health insurance plan at all?
    • Yes
    • No

The next question is about the birth of your most recent baby.

38. Other than doctors, nurses, or midwives, who was with you during your most recent labor or birth?Check ALL that apply.
    • My spouse, partner, or baby's other parent
    • Another family member or a friend
    • A doula, or trained labor support person
    • Some other support person other than doctors, nurses, or midwives
    • No one other than doctors, nurses, or midwives

The next questions are about your experiences at the time and place where you had your most recent birth. Please do not include your prenatal care experiences. Remember that all your answers are confidential. They will not be shared in any way that you can be identified.

39. During your most recent birth, did you feel heard and listened to by your doctors, nurses, and midwives?
    • No, never
    • Yes, a few times
    • Yes, most of the time
    • Yes, all the time
40. During your most recent birth, did your doctors, nurses, and midwives involve you in decisions about your care?
    • No, never
    • Yes, a few times
    • Yes, most of the time
    • Yes, all the time
41. During your most recent birth, did your doctors, nurses, and midwives explain to you why they were doing examinations or procedures on you?
    • No, never
    • Yes, a few times
    • Yes, most of the time
    • Yes, all the time
42. During your most recent birth, did your doctors, nurses, and midwives check that you understood information that was given to you?
    • No, never
    • Yes, a few times
    • Yes, most of the time
    • Yes, all the time
43. During your most recent birth, did your doctors, nurses, and midwives speak to you using language or words you could understand?
    • No, never
    • Yes, a few times
    • Yes, most of the time
    • Yes, all the time
44. During your most recent birth, did you feel informed about what was happening to you during your childbirth?
    • No, never
    • Yes, a few times
    • Yes, most of the time
    • Yes, all the time

Next are a few more questions about the care you received during your most recent birth.

45. During your most recent birth, did you feel pressured into a decision by your doctors, nurses, or midwives?
    • No, never
    • Yes, a few times
    • Yes, most of the time
    • Yes, all the time
46. During your most recent birth, did you feel your doctors, nurses, or midwives avoided, ignored, or otherwise neglected you?
    • No, never
    • Yes, once
    • Yes, a few times
    • Yes, many times
47. During your most recent birth, did you feel your doctors, nurses, or midwives shouted at you, scolded, insulted, threatened, or talked to you rudely?
    • No, never
    • Yes, once
    • Yes, a few times
    • Yes, many times
48. During your most recent birth, how often did you experience discrimination or how often were you prevented from doing something, hassled, or made to feel inferior because of your race, ethnicity, or color?
    • Very often
    • Somewhat often
    • Not very often
    • Never

Here are a few questions about your health and health care since your most recent birth.

49. Before you left the hospital or birth center, did a doctor, nurse, or midwife tell you to take your blood pressure at home?
    • Yes
    • No
50. During the first 2 weeks after your new baby was born, did you have a blood pressure cuff at home?
    • Yes
    • No
51. During the first 2 weeks after your new baby was born, did you ever take your blood pressure at home?
    • Yes
    • No
52. Right now, do you have Medi-Cal, private insurance, or some other health insurance plan to pay for your own health care?Check ALL that apply.
    • Medi-Cal
    • A health plan paid for by Medi-Cal 
      (Name of plan: ______________________)
    • Private insurance (paid for by me, someone else, or through a job)
      (Name of plan: ______________________)
    • Other
      (Name of plan: ______________________)
    • I do not have Medi-Cal or any other health insurance to pay for my own health care now
53. Since your most recent birth, has there been any time when you had no health insurance plan at all?
    •  Yes
    • No
54. Since your most recent birth, have you had a postpartum checkup for yourself (the medical checkup a person has in the first 12 weeks after giving birth)?
    •  Yes
    • No
55. Since your most recent birth, how often have you felt down, depressed, or hopeless?
    • Always
    • Often
    • Sometimes
    • Rarely
    • Never
56. Since your most recent birth, how often have you had little interest or little pleasure in doing things you usually enjoyed?
    • Always
    • Often
    • Sometimes
    • Rarely
    • Never
57. Since your most recent birth, how often have you felt nervous, anxious, or on edge?
    • Always
    • Often
    • Sometimes
    • Rarely
    • Never
58. Since your most recent birth, how often have you not been able to stop or control worrying?
    • Always
    • Often
    • Sometimes
    • Rarely
    • Never
59. Since your most recent birth, have you filled out a form or have you been asked a series of questions from a doctor, nurse, social worker, or other professional about feeling down, depressed, anxious, or irritable?
    •  Yes
    • No
60. At any time during pregnancy or since your most recent birth, did you ever see a doctor or mental health professional for emotional or mental health counseling or treatment? (This can include an obstetrician, primary care doctor, midwife, counselor, therapist, social worker, psychologist, or psychiatrist.)
    • Yes à Skip to question 61
    • No
61. At any time during pregnancy or since your most recent birth, did you feel you needed emotional or mental health counseling or treatment for yourself?
    • Yes
    • No

Now, we have a few questions about your baby who was just born.(Note: if you had twins or triplets, please answer these next questions about the baby who was born first.)

62. Is your baby alive now?
    • Yes à Go to question 62 below
    • Noà Please accept our deepest sympathy. Skip to question 73 on page 10.
63. Is your baby living with you now?
    • Yes à Go to question 63 on the next page
    • Noà Skip to question 73 on page 10
64. Before you delivered your new baby, how did you plan to feed your baby when they were born?
    • I planned to breastfeed only
    •  I planned to use formula only
    • I planned to breastfeed and use formula
    • I was not sure how I would feed my baby
65. Was your new baby ever breastfed or fed breast milk?
    • Yes
    • No à Skip to question 67

66. Are you still feeding your new baby breast milk?

    • Yes à Skip to question 67
    • No
      

    How old was your new baby when you stopped feeding them breast milk?

    • ____day(s)1 OR ____week(s)2 OR ____month(s)3

Here are some questions about liquids and foods you might have given your new baby other than breast milk. If you have never given your new baby any of these, just check the box at the bottom of each question.

67. How old was your new baby when they were first fed formula? ____day(s)1 OR ____week(s)2 OR ____month(s)3
    • Less than 1 day old
    • My baby has never had any formula
68. How old was your new baby the first time they drank liquids other than breast milk or formula (such as water, juice, tea, or cow's milk)?  ____day(s)1 OR ____week(s)2 OR ____month(s)3
    • Less than 1 day old
    • My baby has never had any liquids other than breast milk or formula
69. How old was your new baby the first time they ate food (such as baby cereal, baby food, or any other food)?

    ____day(s)1 OR ____week(s)2 OR ____month(s)3

    • My baby has never eaten food
70. In the past 2 weeks, how did you place your new baby to sleep at night and during naps?
    • On their side
      
    • On their back
      
    • On their stomach
      
71. Since your new baby was born, have you or your partner had to quit a job, not take a job, or greatly change your job because of problems with child care?
    • Yes
    • No
72. Right now, is your new baby covered by Medi-Cal, private insurance, or some other health insurance plan for their health care? Check ALL that apply.
    • Medi-Cal
    • A health plan paid for by Medi-Cal
      (Name of plan: ______________________)
    • Private insurance (paid for by me, someone else, or through a job)
      (Name of plan: ______________________)
    • Other 
      (Name of plan: ______________________)
    • My new baby doesnot have Medi-Cal or any other health insurance to pay for their health care

These next questions give us a general idea of the different backgrounds and experiences of people who have taken part in this important survey. We ask these questions of everyone who participates. Again, please remember that all the information is confidential.

73. At the time your new baby was born, what was your marital status?
    • Married
    • Living with someone like we were married, but not legally married
    • Separated, divorced, or widowed
    • Single (never married)
74. What is the highest grade or year of school you've completed?
    • I never went to school
    • 8th grade or less
    • Some high school, but I did not graduate
    • High school (or I got a GED)
    • Some college or community college, but I did not graduate from a four-year college
    • College graduate (from a four-year college or university) or more
75. What language do you usually speak at home? If you speak more than one, please choose the one you use most often.
    • English
    • Spanish
    • English and Spanish equally
    • Asian language
    • (Please tell us: ____________________________________________)
    • Some other language 
    • (Please tell us: _______________________________________)
76. In what country were you born?
    • United States  à Skip to question 78
    • Another country
77. In what year did you start living in the U.S.?______________________
78. Overall during your life until now, how often have you worried that you might be treated or judged unfairly because of your race or ethnic group?
    • Very often
    • Somewhat often
    • Not very often
    • Never
79. Overall during your life until now, how often have you worried that a loved one like your spouse, partner, child, or parent might be treated or judged unfairly because of their race or ethnic group?
    • Very often
    • Somewhat often
    • Not very often
    • Never
80. Overall during your life until now, how often have you been discriminated against, prevented from doing something, or hassled or made to feel inferior because of your race, ethnicity, or color?
    • Very often
    • Somewhat often
    • Not very often
    • Never

These next questions are about food and money.Please read the statements below and tell us whether they were OFTEN, SOMETIMES, or NEVER true for you during your pregnancy.

81. "I worried whether my food would run out before I got money to buy more." During your most recent pregnancy, was that often, sometimes, or never true for you?
    • Often true
    • Sometimes true
    • Never true
    • Don't know
82. "The food that I bought just didn't last, and I didn't have money to get more." During your most recent pregnancy, was that often, sometimes, or never true for you?
    • Often true
    • Sometimes true
    • Never true
    • Don't know
83. During your pregnancy, did you receive food stamps (also called CalFresh benefits)?
    • Yes
    • No
84. Did you have WIC at any time during your most recent pregnancy? (WIC is the Women, Infants and Children Supplemental Nutrition Program.)
    • Yes à Skip to question 87
    •  No
85. Why did you not have WIC during your pregnancy? Check ALL that apply.
    • I never heard of WIC
    • I didn't think I would qualify
    • I did not need WIC
    • I couldn't get to WIC
    • I couldn't get through on the phone or online
    • It was too difficult to apply
    • I used to have WIC but didn't like it
    • I did not want to use the WIC Card to shop
    • Other (Please tell us: ___________________________________________________)
86. Since your new baby was born, have you or your new baby had WIC?
    • Yes
    • No à Skip to question 88 on the next page
87. What benefits have you liked getting from the WIC program?Check ALL that apply.
    • Support for breastfeeding
    • Help getting a breast pump
    • WIC baby formula
    •  WIC food
    • Information on health and nutrition
    •  One on one education or counseling
    • Group classes
    • Online WIC classes I took on my own
    • Information on how to get health care services
    • Information on community programs
    • Other (Please tell us: ___________________________________________________)
88. What was your total family income in 2023 before taxes? Please mark one box below that includes your total family income, including your income and the income of your spouse or partner (if living with you in 2023) and your children.Please include income from all sources, including jobs, welfare, Disability, Unemployment, child support, interest, dividends, and support from family members.

    FOR THE YEAR 2023

    • $0 to $10,000
    • $10,001 to $12,000
    • $12,001 to $15,000
    • $15,001 to $18,000
    • $18,001 to $20,000
    • $20,001 to $25,000
    • $25,001 to $30,000
    • $30,001 to $35,000
    • $35,001 to $40,000
    • $40,001 to $50,000
    • $50,001 to $60,000
    • $60,001 to $70,000
    • $70,001 to $75,000
    • $75,001 to $80,000
    • $80,001 to $90,000
    • $90,001 to $99,000
    • $99,001 to $105,000
    • $105,001 to $120,000
    • $120,001 to $141,000
    • $141,001 to $161,000
    • $161,001 or more
89. If you can't choose one of the previous categories, please tell us your average monthly total family income in 2023 before taxes.
    • $_________________ per month
90. Thinking back to 2023—before your new baby was born—how many people lived on this income?
    • ___________ total number of people