Skip to main content

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 a state-developed research project of the Oklahoma State Department of Health (OSDH), with funding from the Title V Maternal and Child Health Block Grant and the OSDH. TOTS began in 1994, making Oklahoma the first PRAMS participant to start a follow-up survey.

TOTS evaluates the health and well-being of Oklahoma's toddler population and their health experiences from birth to age two. The purpose is to provide Oklahoma with a better picture of what affects the health of young children in the state. Each mother's and toddler's experiences are unique and important. Through sharing stories, moms can help other mothers and toddlers. All information is kept confidential, and TOTS follows strict rules about privacy.

Oklahoma uses the information to help health professionals improve care, provide a way to develop and measure health programs, guide better use of resources, and help families learn more about being healthy and safe. Mothers who respond to PRAMS are followed up with TOTS when their child turns two. TOTS asks around 150 women each month to answer the survey. All answers are important to help us learn ways to improve the health of Oklahoma families. 


Oklahoma TOTS Phase 6 Survey (2018 – current) 

Oklahoma TOTS Phase 5 Survey (2011-2017) 

Many of the Oklahoma resources listed in this guide offer free, reduced-rate, or adjusted-rate services.

Oklahoma TOTS collects data on topics such as:

  • Childcare
  • Discrimination
  • Family structure
  • Health care and insurance
  • Illness and injury
  • Maternal mental health
  • Nutrition
  • Second and thirdhand smoke exposure
  • And more

For questions related to data requests, email

For data requests, complete the Data Request and Data Use Agreement form.

Once completed, email them to

For more information on PRAMS nationwide please visit

For more data resources, please visit the link below:

Related reports are available at the MCH Data Portal below, under Cross-Cutting/Systems Building

Contact Information

Ayesha Lampkins, MPH
PRAMS/TOTS Project Coordinator
Project Administration/Operations
MCH Assessment
Phone: (405) 426-8098

April Lopez, MPH
Statistical Inquiries/Data Reports
MCH Assessment
Phone: (405) 444-6575

For the TOTS project, call (800) 766-2223

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