I am: The pregnant woman The father or the partner Another person In connection with the baby, I am: Grandmother Grandfather Other member of the family A friend of the family Autre Last level of education completed: Primary Secondary CÉGEP University My age : 15-19 20-24 25-29 30-34 35-39 40 or more This is my: first pregnancy second pregnancy third pregnancy fourth pregnancy or more This is my: first child second child third child fourth child or more Expected due date: