Preliminary Questionnaire

( 3 – 6 ) Years Old!

I’m so happy that you are interested in getting my sleep support to help your child (and your family!) sleep better and longer! This is absolutely the right choice if you are ready to make positive changes to your little one’s sleep.

In this form I will be gathering some initial information about you and your child to carry out a preliminary evaluation of your little one’s sleep situation.

Let’s get started!

Sleep well,

Ausra Cirkelyte















    All The Best!
    Ausra Cirkelyte