* 1. I/we have read the permission letter and fully understand the conditions.
I/we give consent to take part in the study.

Please print your name, if you wish to remain anonymous, please write 'anonymous'

* 2. Mothers age:

* 3. Mothers occupation:

* 4. Fathers age:

* 5. Fathers occupation:

* 6. Family composition:

* 7. Is this child your first baby?

* 8. Are you planning to use some form of childcare before your child attends school?

(in home carer; child minder; nanny; day nursery; playgroup; créche; other)

* 9. What childcare are you planning on using?

9a: At what age will your child start receiving this childcare?

* 10. What are your reasons for this?

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