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Have you ever dropped your baby? (Completely anonymous, totally understanding, zero shame.)
*
1.
Have you ever dropped your baby?
(Required.)
Yes
No
2.
If Yes, how old where they?
0-2 weeks
2-4 weeks
1-3 months
3-6 months
6+ months
3.
Where did the accident happen?
At home
At someone else’s home
In hospital
Outside
A public place
Other (please specify)
4.
Did you tell anyone after the accident?
I sought medical help but haven’t told friends or family
I sought medical help and have told friends or family
I didn’t seek medical help and haven’t told friends or family
I didn’t seek medical help and have told friends or family