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Wholesome, homemade baby food crafted with love and care—because your little one deserves the best

What email address will you be using for the consultation?

What is your baby's current daytime sleep schedule (if any)?

What does your baby's bedtime routine look like? Skip if you don't have one.

What type of sleep outfit does your baby sleep in?What type of sleep outfit does your baby sleep in?

What does your baby's sleeping arrangement look like? Please be specific.

How many hours does your baby sleep in a 24hr period. (Naps+ Night time sleep)?

Does your baby use a pacifier to sleep.

Yes, and I often have to reinsert it. Yes, but it's not a prop. My baby doesn't mind or cry for it when it falls out. No my baby does not use a pacifier. Other

Does your baby use any sleep props to fall asleep? or back to sleep during the night? Select all that apply.

Which personality type best describes your baby. You may select more than one.

Quiet, mellow, laid back, doesn't mind change. Cranky, fussy, rarely in a happy mood. Clingy, anxious, often experiences separation anxiety. Strong willed, stubborn, resists change. Happy, playful, usually in great spirits. Other

Have you tried any other methods or programs?

What developmental milestones (if any) has your baby accomplished? Select all that apply

Which statement best describes how you feel about crying?

I don't mind hearing crying I don't mind hearing some crying I cannot hear any crying at all Other

Please provide in detail, any additional information that will help me understand what's going on with your baby's sleep troubles. If you have specific questions you can include them here too. If you forget to add something, no worries, you can always add additional information by emailing me.

How did you hear about me?

Did a friend refer you? If yes, please tell me your friends name so that I can give that person credit

MEDICAL DISCLAIMER: The information/advice provided during this consultation is not medical advice. You are not establishing a medical professional/patient relationship. The advice is for informational purposes only and is intended for use with healthy children with common sleep issues that are unrelated to medical conditions. The information provided is not intended nor is implied to be a substitute for professional medical advice. Always seek the advice of your physician with any questions you may have regarding a medical condition or the health and welfare of your baby.
REFUND POLICY: Due to the amount of time, effort, and commitment provided within a consultation, refunds are not possible once this form is submitted.
COPYRIGHT NOTICE: The information provided within the consultation may not be reproduced, republished, or transmitted in any form or by any means mechanical or electronic, including photocopying and recording, or by any information storage and retrieval system, without permission nor shared to any mom support WhatsApp groups.

I have read and agree to the terms and conditions I agree not to share any information or handouts to anyone in email or in any Whatsapp support groups

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