Knowledge, Attitude and Perceptions of Parents regarding Risks for Unintentional Child Injuries
General Information
Name of the Parent: *
Relation with the Child (please tick or highlight the correct alternative):
Age(years):
Email id: *
Mobile number:
Family type:
Total Number of Children in the Household:
Number of Children aged below 5 years in the Household:
Education of the Parent (responding) (please tick or highlight the correct alternative):
Occupation of the Parent (responding):
If working, what are your job timings?
Do you work from home?
If yes, how many days in a month do you work from home?
Education of the Head of the Family (please tick or highlight the correct alternative):
Occupation of the Head of the Family
Total Monthly Income of the Family (please tick or highlight the correct alternative)
Who is the primary caregiver responsible for looking after and supervising your child/children below 5 years?
Do you leave your child/children (below 5 years) in a creche or babysitting?
If yes, for how long do leave them in creche?
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