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Newborn Intake Form

This form must be filled out at least 24 hours prior to your scheduled consultation call.

Buy the Newborn Package prior to filling out the form.

I have purchased the Newborn Package.

Need to purchase? CLICK HERE.

I acknowledge that Megan does not provide advice or support for bedsharing arrangements.

First Name

Last Name

Phone

Child's Name

Child's Age in Weeks (adjusted if premature)

Why did you decide to contact me?

What do you hope to achieve from this call?

How is your baby fed?

Breastfed

Bottle-fed

Other

Does your baby mouth breathe or snore?

Yes

Does your child have any medical conditions?

Describe your child’s temperament generally. Do they consistently become fussy or grumpy at certain times of day?

Who handles night wakings? And how do you soothe/get your child back to sleep?

Does your child generally wake, nap, and go to bed at the relatively same time? Please describe.

How often does your baby eat in the night?

Does your baby wake in the night (feedings aside)?

Locations your baby sleeps (examples: crib, floor mattress, stroller, car seat, Pack n’ Play, swing, couch, carrier, etc.)

Does your child share a room with anyone?

Ideally, where do you want your child to sleep?

What does your child’s sleep arrangement look like? Do you use a sound machine, a nightlight, are they swaddled, what’s the temperature of the room, etc.?

Do you regularly do a bedtime routine?

Yes

Does your child attend daycare or have any other scheduled caretaking?

Yes

Are you present when your child falls asleep? If so, what soothing techniques do you use with your child?

How dark is your child's room while sleeping (bright, dim, dark, pitch-black)?

Have you worked with any other sleep consultants?

Is there anything else related to your child, the home dynamic, or your child’s sleep that I should be aware of?

Looking forward to chatting with you soon!

Feeling overwhelmed?

Schedule a free 15 minute call!

Or send me a message below.

Contact Me

Thanks for submitting!

FAQ

megan@sweetlyasleep.com

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Photos provided primarily by Shelby Collier Photography.

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