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The Oklahoma Toddler Survey (TOTS)

The Oklahoma Toddler Survey (TOTS) is a two-year, follow-up survey to the Oklahoma Pregnancy Risk Assessment Monitoring System (PRAMS). TOTS is funded by the Title V Maternal and Child Health Block Grant and the Oklahoma State Department of Health. 

TOTS evaluates the health and well being of Oklahoma’s toddler population and their health experiences from birth to age two. The information is used to help guide programs and health policy in Oklahoma, and to help make better use of limited resources.

Similar to PRAMS, TOTS sends as many as two mail questionnaires to between 150 to 175 women each month followed by phone contact for those mothers have not responded by mail.  All information is kept confidential.

TOTS includes questions about health care and insurance, illness and injury, childcare, safety, breastfeeding, secondhand smoke exposure, and family structure. 

NOTE: Many files below have been converted to PDF format. In order to view PDF files, you must download and install the free Adobe (TM) Reader. Complete instructions on downloading and configuring the reader for your system are available at the Adobe (TM) Reader web site.

Volume XI

Household and Vehicle Smoking Rules May 2019 (598k)

Volume X
#1 Toddler Nutrition and Physical Activity March 2018 (521k)

Volume IX
#1 Discrimination in Accessing Health Care October 2016 (171k pdf)
#2 Child Care Arrangements and Cost  November 2016 (172k pdf)

Volume VIII
#1 Residential Moving and Maternal Stress September 2015 (140k pdf)

Volume VII
#2 Bedtime Routines for Toddlers in Oklahoma - TOTS Brief July 2014 (139kb pdf)
#1 Reasons for Delaying Immunizations March 2014 (74kb pdf)

Volume VI 
#3 Secondhand Smoke Exposure in Homes and Vehicles (204k pdf)
#2 Birth Control Use at Two Years Post Partum (415.7k pdf)
#1 Car Seat Safety and Information (362.3k pdf)

Volume V
Life Stressors Among Mothers of Two-Year-Olds - April 2012 (744.3k pdf)
Subsequent Pregnancy Among Teen Mothers (421.4 pdf)

Volume lV
Breastfeeding Duration among Native Americans - July 2011 (104.4k pdf)

Volume lIl
TV Time (517k pdf)
Immunizations (134.5k.pdf)

Volume ll
Injury - June 2008 (75.2k.pdf)
Child Care - October 2008 (73.7k.pdf)

Volume l
Health Insurance Coverage - July 2006 (276k.pdf)

For data requests, complete the Data Request and Data Use Agreement form. Once completed, email them to

Oklahoma TOTS Phase 6 Survey (2018-current)

Oklahoma TOTS Phase 5 Survey (2011-2017)

Contact Information

Ayesha Lampkins, MPH
PRAMS/TOTS Project Manager
Project Administration/Operations
Phone: (405) 426-8092

Binitha Kunnel, MS
Senior Biostatistician
Statistical Inquiries & Data
Custom Reports
Phone: (405) 426-8092

Mailing Address:
Oklahoma State Department of Health
123 Robert S. Kerr. Ave., Suite 1702
Oklahoma City, OK 73102-6406

Physical Address:
Oklahoma State Department of Health
123 Robert S. Kerr Ave.
Oklahoma City, OK