Sleep Questionnaire

What does your baby sleep in- cot, bed, hammock, bassinet, family bed?

Please describe what baby sleep’s in (sleeping bag, swaddle, blankets, pjs)?

Is baby swaddled, does baby have any props like dummy, safety sleep, comfort toy?

What does the baby drink? Breast milk or formula? Please describe volumes of formula and if baby is having solids, please explain what baby is eating and when/how much.

What is baby's sleep environment? Dark, light, night light etc.

Do you work outside the home? If yes – who looks after baby, how do the get them to sleep and when?

Time of nap?

Duration of nap?

How do you resettle baby for a nap?

How do you settle baby to sleep at night and what time is bed time?

If your baby wakes at night how do you settle them back to sleep and how often do they wake?

What have you tried to solve your problem? How did this go?

Any medical problems like sickness or allergies for the baby?

Please briefly describe your parenting style. Do you go with the flow or prefer a strict routine, would you consider yourself an attachment parent, do you prefer methods based on non-controlled crying techniques or are you happy to consider controlled crying?

Do you have kindy or school commitment? Times you have to leave the house and when are you back if you do they have commitments?

Do you want a strict schedule with the same wake up time, nap time, bed time each day or do you want a flexible solution depending on what time your baby wakes up?

Has your baby gone through any major developmental milestones recently?

Please describe in detail exactly the sleep problem you're experiencing.

I accept the following conditions:

I acknowledge that in the beginning, teaching my baby correct habits require consistency, commitment and hard work. I am willing to spend 1-3 weeks alongside my partner or support person to make these changes.

I acknowledge that in the beginning of the sleep training process I need to be organised with my daily life and social commitments may need to be put on hold or limited to make sure you can 100% give your time to your baby.

I acknowledge I may need support in the early days of sleep training.

I acknowledge that I need to be consistent throughout the training process and follow guidelines of the sleep training method you have chosen.

I have ensured that my babies sleep environment is safe and within the SID guidelines.

Thanks for sharing! I'll be in touch soon. Bree.x

LITTLE

DREAMERS'

SLEEP CONSULTANT

Sleep Questionnaire