Client Intake Form

 This form is designed to help me understand your child’s sleep and your family needs. Please answer as best you can, approximate answers are perfectly okay, and there are no right or wrong answers. This form is designed to help me understand your child’s sleep and your family's unique needs before our consultation. Please answer as best you can, approximate answers are perfectly okay, and there are no right or wrong answers.

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This form takes approximately 15-20 minutes to complete.