You are invited to participate in a study of changes in perception in new parents. The study involves answering an online survey now and a similar survey after your baby is born. Each generally take about 5 minutes to complete.

The questionnaire includes questions about you, your children and your pets. To be eligible to participate in the survey, the following must be true:

1. You are at least 18 years old.

2. You or your partner are currently pregnant and are expecting a baby in the next 9 months.

3. You currently are the parent of a child (10 years or younger) and/or have a pet dog or cat that lives with you.

Any information you will provide will be accessed only by the researchers. While your own answers will remain anonymous, overall results from the pool of respondents may be presented in scientific publications, presented for academic audiences, used for teaching purposes and disseminated to the media. If you would like to be informed of our research findings once the study is complete, please indicate so at the end of the survey when prompted.

Should you have any questions regarding the study please contact Dr. Jordy Kaufman of the Brain Sciences Institute on +61 3 9214 5757 or by email at jkaufman@swin.edu.au.

This project has been approved by or on behalf of Swinburne's Human Research Ethics Committee (SUHREC) in line with the National Statement on Ethical Conduct in Human Research (Approval number: 2009/15).

If you feel that Dr. Kaufman was unable to satisfy your query or problem or if you have any concerns about the conduct of this research project, you can contact:

Research Ethics Officer, Office of Research and Graduate Studies (H68)
Swinburne University of Technology
PO Box 218
HAWTHORN
VIC 3122
Australia or Tel +61 3 9214 5218.

Your participation in this research is greatly appreciated.

You may print a copy of this sheet for your records.

By answering the following questionnaire I consent for my responses to be recorded and used in the research study. If you do not consent, please do not continue. You can withdraw at any time simply by discontinuing the questionnaire and closing your browser window.

Browser Test
Before you begin, the value below should be 1, if not your browser will need to have the zoom state reset. You can do this by selecting the keys [control] + [0] for the PC, or [command] + [0] for the MAC. Once set, do not change until the survey is finished.

If you do not see a number, Adobe Flash Plug-in is required for this test. (Version 9 or above.)
http://www.adobe.com/products/flashplayer/

Start

Section 1

When is the due date of your expected child?

Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day Select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month Select 2010 2011 2012 Year

I am not expecting a new child.

Are you currently the parent of a child aged 10 years or younger?
yes no

Do you have a dog or cat?

yes no

Next

Section 2

Please indicate your age:
Under 18 18-21 22-25 26-30 31-35 36-40 41-45 46-50 Over 51

Please indicate your sex:
Female Male

What country do you live in:
Australia Canada New Zealand Republic of Ireland South Africa UK USA Other (please specify)

(other)

What is your postcode or zip code (optional):
(Australia only)

What is your email address?
(This will be used so that we can contact you to complete the 2nd half of the survey after your baby is born)

Next

Section 3

 How many living children do you have?
0 1 2 3 4 5 6+

Next

Section 4

Please provide the name of your child: (Feel free to use intials or a nickname instead of his/her real name. We ask because we will refer to your child later in the survey, so choose something you will definitely remember).

Next

Section 5

Please provide the names of your youngest and oldest children: (Feel free to use intials or a nickname instead of real names. We ask because we will refer to your children later in the survey, so choose something you will definitely remember)

Youngest child's name:

Oldest child's name:

Next

Section 6

Female Male   Select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Birth Month   Select 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 Before 1970 Birth Year

Next

Section 7

Female Male   Select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Birth Month   Select 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 Before 1970 Birth Year

Next

Section 8

What is the name of your favorite living pet dog or cat? (Feel free to use intials or a nickname instead of his/her real name. We ask because we will refer to your pet later in the survey, so choose something you will definitely remember).

Is this pet a fully grown adult?

Yes No

Select the image that best resembels your most favourite pet:

         
    

    

Next

Section 9

 

 

Next

Section 10

kg lbs

Next

Section 11

   

   

   

   

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Section 12

 

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Section 13

   

   

   

   

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Section 14

 

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Section 15

Do you have any comments or questions about this survey?
(If so, feel free to enter them below)

To submit your survey data click the submit button below.

Section 16

Thank you for offering to take part in this survey. However, this survey is intended only for expectant parents (18 yrs+), who also have a young child and/or a dog or cat. If you would like to learn about the work we do at the Swinburne Babylab, please visit:http://www.babylab.org.

If you have any comments or questions about this survey. Please email them to babylab@swin.edu.au.