Sleep Strategies
Geneva Centre for Autism Parent Online Training Registration Form
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Phone Number
(000) 000-0000
Format: (000) 000-0000.
Your Child's Name
First Name
Last Name
Your Child's Date of Birth
-
Month
-
Day
Year
Date Picker Icon
Your Postal Code
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What kind of sleep challenges is your child experiencing?
Resisting going to bed at bedtime
Difficulties with having a nighttime routine.
Not sleeping through the night
Difficulty staying in bed (leaving their bedroom)
Difficulty falling asleep
Co-sleeping
Child is afraid of sleeping in the dark
Other
If you select other, please describe
Describe your goals regarding your child’s sleep (e.g., be able stay asleep throughout the night; be able to sleep independently without the presence of parents):
What strategies have you tried to help with your challenge (select all that apply):
Visual schedule
First-then board
Social Story
Transition item
No screens 2 hours before bedtime
Consistent bedtime routine
Calming activities at night
Other
If you select other, please describe in detail
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Submit
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