Consultation Form

Please provide as much detail as you can to help understand your child’s sleep. If you have any specific questions or areas of concern, you can include them at the end of the form.

Step 1: complete the form below, including as much detail as you can.

Step 2: indicate which sleep package you would like at the bottom of the form (see Sleep Packages page for further information). If you are undecided, Sweet Dreamz Baby will email you a recommendation based on your completed form.

Step 3: Sweet Dreamz Baby will email you a Paypal invoice for your sleep package, payable at your convenience. Or you can purchase your package here directly. Upon receipt of payment, Sweet Dreamz Baby will contact you by email within 24 hours to arrange a date to start your package.

If you would like a free 15-minute consultation before paying, book a time directly here.

First name(required)

Last name(required)

Email(required)

Phone number(required)

Child's first name(required)

Child's sex

Male Female

Child's age (years and months)(required)

Was your child born premature (before 37 weeks)?

Yes No

What sort of routine or schedule do you have?

We have a good routine/schedule and it's mostly working well We sort of/sometimes have a routine/schedule but it's not working well for us We have no routine/schedule and would like help to create one What's a routine/schedule?!

What is your child's sleep schedule? Please include all times for morning wake up, naps (start and finish), and bedtime.(required)

Does your child have a set bedtime? (required)

Yes No

How many hours does your child sleep in one 24 hour period on average? (night time + daytime)? (required)

How long does it take for your child to fall asleep at bedtime on average? (in minutes) Do you play any role here, what do you do?

Access to screens (choose all that apply)

My child has access to screens (iPads, smartphones, laptops, TV) in the 2 hours prior to bedtime My child has screens (as above) in their room My child has no or highly limited access to screens Other

How is your baby currently getting his/her nutrition? Select all that apply. (Please note all feeding instructions should be handled by your pediatrician or health advisor)

Breastfeeding Formula Solids Other

Do you have a feeding schedule and how many times a 1) day and 2) night do you feed?

How does your child fall asleep (at bedtime and nap times)?(required)

What is your child's bedtime routine (bath, then book etc) and at what time?(required)

What does your child wear to bed? (clothing and sack/blanket)

Where does your child sleep? (required)

Does your child use a pacifier to sleep? (required)

Yes and I have to reinsert it Yes but my child continues to sleep when it falls out No my child does not use a pacifier Other

Which best describes the temperament of your child? (select all that apply)

Quiet, mellow, doesn't mind change Cranky, fussy, slow to warm up Clingy, anxious, may suffer from separation anxiety Strong willed, active, spirited, stubborn, resistant to change Happy and playful, in good spirits most of the time

What would you most like to change, what is your goal with sleep coaching? (please be as detailed as possible)

How ready are you to implement new tactics to improve sleep?

I'm ready to start – I want to see results NOW! I'm ready, but I want to go slow I'm not sure I have the time to commit

How do you feel about crying? (This is important as it determines which sort of approach we take)

I don't mind it, I understand change can mean tears I don't mind a little I cannot hear any crying

Is there anything else you would like me to know? Including any sleep methods or approaches you have already tried and at what age

Which sleep package suits you best? (see Sleep Packages page for further info)

How did you hear about Sweet Dreamz Baby? (please provide a referral name if applicable, I would like to thank them. All clients referring friends = a free 30-minute tune-up call!)

BY CLICKING SUBMIT BELOW YOU AGREE TO THE FOLLOWING TERMS AND CONDITIONS:

MEDICAL DISCLAIMER: The information/advice provided during the 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.

PEDIATRICIAN APPROVAL: You agree to consult with and get approval from your pediatrician before following the advice or using the techniques offered during any consultation.

LEGAL NOTICE: In no event will Sweet Dreamz Baby LLC be liable to you for any claims, losses, injury or damages as a result of reliance on the information provided. Although all attempts have been made to verify the information provided is accurate, Sweet Dreamz Baby LLC does not assume responsibility for errors, omissions, or contrary interpretation of the subject matter within the consultation. Reliance on any advice given is solely at your own risk.

Sleep Coaching for Babies, Toddlers and Children

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