Boy or girl?
Are you over 35?
Yes
No
Were you living with the father of your baby when you conceived?
Yes
No
If you are married, how long had you been married when you conceived?
Less than a year
More than a year
I'm not married
Is the father of your baby over 40?
Yes
No
How many children do you already have?
None
One
Two or more
Were you eating a high or low calorie diet when you became pregnant?
High
Medium
Low
Does the father of your baby work in any of these occupations: airline pilot, deep sea diver, submariner, timber mill worker, flour mill worker?
Yes
No
Were you under stress before you became pregnant?
Yes
No
Which season did you conceive in?
Spring
Summer
Fall
Winter
Did you conceive after having your ovulation induced hormonally?
Yes
No
In your pregnancy, have you suffered from severe morning sickness (hyperemesis gravidarum)?
No
Yes, I had no treatment or was treated at home
Yes, I was admitted to hospital for treatment
Were you born in a tropical climate and living in a tropical climate when you conceived? (Only answer yes if the answer is yes to both parts.)
Yes
No
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