Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Age of child(ren)
-
Month
-
Day
Year
Date
All household members aligned with Sleep Training?
Please describe what a typical 24hrs looks like in your home. Naps and bedtime routine included.
Does your child have any medical or developmental needs?
Parent/caregiver: Any untreated Postpartum Depression; Anxiety or Baby Blues? (Sleep Training can be stressful on parents, we want to ensure you’re 100% supported in this journey).
What are your fears, concerns or worries?
Are you ready and able to handle some crying? (It’s the elephant in the room- no one likes a crying baby and we absolutely try to minimize tears as much as possible).
What are you hoping to achieve by working with a Sleep Coach?
When are you ready to start?
Please share more information here.
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