Preliminary Questionnaire

( 0 – 2 ) Years Old!

I’d like to ask you to take a few minutes to answer some questions about your child’s sleep habits before we meet. This will help me to see your problems clearly and will allow me to help you in the best way I can.  These are a few questions, but almost all of them can be answered in just a sentence or two, so please don’t be intimidated!

You can just answer the questions in the spaces provided. It would be great if you could have this filled at least 3 days prior our meeting!



    All The Best!
    Ausra Cirkelyte