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NEW CLIENT INTAKE FORM

To make sure we provide the proper support for your family, we’ve introduced a New Client Intake Form. This form helps us understand your needs, preferences, and any key details before your consultation. Please fill it out as thoroughly as possible so we can tailor our approach and help you achieve better sleep sooner!

Tell me about you & your family

YOUR MENTAL HEALTH

Before beginning sleep training with your baby, we take a moment to check in on your emotional well-being because parenting can be an emotionally demanding experience. Our goal is to provide a holistic, compassionate approach that supports both your baby’s development and your well-being as a parent.

Let's have a quick check-in on you

Is stress a major problem for you?
Yes
No
Do you feel depressed?
Yes
No
Do you panic when stressed?
Yes
No
Do you have problems with eating or your appetite?
Yes
No
Do you cry frequently?
Yes
No
Have you ever seriously thought about hurting yourself?
Yes
No
Do you have trouble sleeping (aside from baby's disruptions)?
Yes
No
Have you ever been to a counsellor/therapist?
Yes
No
Do you have support from a partner/family member/friend on a regular basis?
Yes
No
Are you on any medication?
Yes
No
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READY TO START YOUR JOURNEY TO BETTER SLEEP? 

GET IN TOUCH
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