Kid/Teen Sleep Questionnaire

Thank-you for choosing Good Night Sleep Site as your sleep consultant and support. Please fill out the below questionnaire in its entirety. If the section does not apply to your situation please fill it in with n/a. Having this information will be useful in creating the right Sleep Plan for you and your child.

We look forward to starting your sleep journey with you!

Talk soon!

Good Night Sleep Site

Demographics Information

Good Night Sleep Site Information

Please check all that apply

Information About Your Child/Family

About Routine

Sleep Related Issues

Selected Value: 0
Selected Value: 0

Thank-you!  We will be emailing you your Letter of Agreement and our first available time to book your 60-minute consultation within 24-hours of receiving your completed questionnaire.  Please note – If you haven’t heard back from us within 24-hours please check your junk mail folder as occasionally our emails can end up in there.

We look forward to starting your sleep journey with you!

Talk soon!

Good Night Sleep Site