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Once you have completed this information, Genevieve will contact you within 24 hours to confirm your booking
Book Your Support
  1. General
  2. Parent's name/s(*)
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  3. Address (and any useful directions for finding you or parking nearby if we are seeing you in person)
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  4. Telephone contact (H/Mob)
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  5. Email contact
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  6. Which support would you like to book? (overnight support, home consult, combination support etc) If you would like our advice on which support option would be most helpful for your family, just put "advice".
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  7. Is there anyone else that minds your child regularly? (Grandparents, Nanny, Day care etc)
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  8. Child’s name/s
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  9. Date of birth
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  10. Gender(*)
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  11. Sleep
  12. Where does your child sleep? (cot, toddler bed, parent's bed, room with sister, bassinette etc)
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  13. Where does your child nap during the day? (if still napping)
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  14. How does your child go off to sleep for naps? (self-settles, uses the dummy, you rock/pat, use the stroller etc)
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  15. What time does your child first wake up in the morning?
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  16. What time does your child go down last thing at night? (or what bedtime do you aim for?!)
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  17. How many times during the night is your child waking?
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  18. What times are your child’s naps during the day? (if still napping) and roughly how long is each nap?
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  19. Have you had a recent GP or Pediatrician check-up for your child to rule out any medical conditions that could be impacting your child’s sleep? We will need to rule out any physical or physiological reason for your child’s sleep behaviour to ensure they are not in any pain or discomfort – ie reflux, adenoids/tonsils, low iron, intolerances etc before implementing behavioural methods to resolve your child’s sleep difficulties.
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  20. Have you sought any other professional advice regarding your child’s sleep? If yes, who? Was it helpful? (GP, Early Childhood Centre, Pediatrician etc)
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  21. Feeding
  22. Please describe your child’s feeding habits (fully breastfed, breast/bottle with expressed milk, formula/combination, just started solids, eats family food etc) and list foods below...
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  23. Health
  24. How was your pregnancy and delivery of your child?
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  25. Is your child taking any regular medications?
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  26. Does your child have any developmental delays, which are being monitored?
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  27. Bedtime
  28. What is your child’s bedtime routine? What time does this routine start?
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  29. How does your child fall asleep at bedtime?
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  30. Who usually gets up to your baby when he/she wakes up overnight and what do you do? (e.g. take your baby in to bed with you, breastfeed, pat, rock etc)
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  31. Other
  32. Is there anything else about your health or your child’s health that would be helpful to know to help Sleep Angel best support your family?
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  33. What goals would you like Sleep Angel to help you reach?
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  34. How did you hear about Sleep Angel?
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