1. Newborn Baby Information

All parents please answer this section

* 1. Please can yo give your child's details:

* 2. Did your newborn cry on arrival?

* 3. Did your newborn baby go into special care?

* 4. If you answered yes to question 3, please explain the reason?

* 5. Did your newborn display any of the traits listed below:

  Yes No Possibly
Reluctance to feed
Reflux/vomiting
Excessively sleepy
Seizures

* 6. Was there anything else usual that you noticed about your newborn baby?

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