About your baby

1) Are you expecting a baby at the moment?

If "yes" please go to question 2, otherwise please go to question 9

2) What is your estimated due date (EDD)?

3) Are you expecting:

4) What was your weight at birth?

5) What was your partner's weight at birth?

6) If you have children, what were their birth weights?

(Please enter details for each child on a separate line)

7) How do you intend to feed your baby/babies?

8) Will you arrange childcare for your baby?

9) If you are planning childcare will it be:

 On which schedule?

10) Do you have children currently in nappies?

If "yes", please go to question 11, otherwise please go to question 12

11) Please enter details for your child(ren) currently in nappies

Age & gender:

Weight and build:

What type and size of nappies do you normally use?

Do you experience any of the following with your usual nappies?

Do you arrange childcare for your child(ren)?

On which schedule?

12) Provide details of any skin allergies/sensitivity/eczema in your family:

13) Are you planning more children?

Your circumstances

14) Do you have a washing machine?

If "no", what are your normal washing arrangements?

15) How often would you ideally want to launder reusable nappies?

16) What are your drying facilities? (Tick all that apply)

Washing line
Airer
Airing cupboard
Radiators
Ceiling drying rack
Drying room
Aga (or similar)

17) Do you use a tumble dryer?

Rarely/In emergencies Occasionally Regularly Always I don't own a dryer

18) What type of plumbing do you have?

Modern mains plumbing Septic tank Antiquated plumbing Don’t know

Nappy choice

19) List in order of importance your reasons for looking into reusable cloth nappies (1 as most important & 6 as least important)

1 2 3 4 5 6 Cost/money saving

1 2 3 4 5 6 Environmental impact (land fill)

1 2 3 4 5 6 Environmental impact (resources)

1 2 3 4 5 6 Chemical usage in disposable nappies

1 2 3 4 5 6 Natural fabrics

1 2 3 4 5 6 Fashion

Other - please specify

20) Thinking about the features of cloth nappies, list in order of importance the following characteristics (1 as most important & 11 as least important)

1 2 3 4 5 6 7 8 9 10 11 Quick drying (on line/airer)

1 2 3 4 5 6 7 8 9 10 11 Tumble-dryable

1 2 3 4 5 6 7 8 9 10 11 Slim fitting

1 2 3 4 5 6 7 8 9 10 11 Look/appearance

1 2 3 4 5 6 7 8 9 10 11 Ease of use

1 2 3 4 5 6 7 8 9 10 11 Low cost

1 2 3 4 5 6 7 8 9 10 11 Organic materials

1 2 3 4 5 6 7 8 9 10 11 Natural materials

1 2 3 4 5 6 7 8 9 10 11 Reliability

1 2 3 4 5 6 7 8 9 10 11 Speed of nappy changes

1 2 3 4 5 6 7 8 9 10 11 UK made/Low air miles

21) Are you happy to fold nappies?

22) Is your partner supportive of the use of cloth nappies?

23) Please list any types or brands of reusable nappies that appeal and explain why:

24) Is there any other relevant information you would like to add?

Your details

Name

Address

Email

Phone

Council tax authority

Where did you hear about Green Jelly?