Parent Lead Knowledge Questionnaire
I. General Information
a. Sex
___ Male e. What is your highest level of education achieved?
___ Female ___ 0-6th grade
___ 7-9th grade
___ 10-12th grade
b. Ethnic Background ___ Some college/trade school
___ Asian American ___ Graduated college
___ African American ___ Some graduate school
___ Hispanic ___ Finished graduate school
___ White
___ Other
f. Zip code _________
c. Has your child/children ever been tested for lead poisoning?
YES NO DON'T KNOW
d. Do you think your child/children could get lead poisoned?
YES NO DON'T KNOW
II. INSTRUCTIONS: Please answer TRUE, FALSE or DON'T KNOW to each of the following questions:
1. Lead poisoning may cause serious learning and behavioral problems in children.
TRUE FALSE DON'T KNOW
2. Lead can be found in the paint of homes built before 1978.
TRUE FALSE DON'T KNOW
3. Lead found in the dirt cannot harm children.
TRUE FALSE DON'T KNOW
4. Frequent hand washing helps prevent lead poisoning.
TRUE FALSE DON'T KNOW
5. When renting an apartment, the owners are required to tell renters about the possibility of lead in the paint.
TRUE FALSE DON'T KNOW
6. One way for children to get lead poisoned is having lead dust on their hands and then putting their hands in their mouths.
TRUE FALSE DON'T KNOW
7. It is safe to cook, serve and store food in imported pottery and ceramic ware.
TRUE FALSE DON'T KNOW
8. Lead cannot be passed from a pregnant woman to her unborn child.
TRUE FALSE DON'T KNOW
9. Some herbal or traditional home remedies contain lead.
TRUE FALSE DON'T KNOW
10. A child with lead poisoning always appears sick.
TRUE FALSE DON'T KNOW
11. The only way to find out if your child has lead poisoning is to have him/her take a blood lead test.
TRUE FALSE DON'T KNOW
12. It is okay to sand or scrape old painted wood.
TRUE FALSE DON'T KNOW
13. A healthy diet high in iron and calcium helps lessen a child's chance of becoming lead poisoned.
TRUE FALSE DON'T KNOW
14. Lead poisoning can be prevented.
TRUE FALSE DON'T KNOW
15. Parents, who work with lead at their jobs or have hobbies that involve lead, can bring lead home
on their clothes.
TRUE FALSE DON'T KNOW
16. Parents may ask their children's doctor to test them for lead even if the doctor has not
mentioned it before.
TRUE FALSE DON'T KNOW
17. Cleaning floors with a wet mop and washing windowsills with a damp cloth helps remove lead
dust.
TRUE FALSE DON'T KNOW
18. Washing children's toys often helps prevent lead poisoning.
TRUE FALSE DON'T KNOW
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