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Initial Sleep Intake Questionnaire
Please describe in as much detail as possible and / or tick where appropriate. Next, please book complimentary Sleep Support Discovery Call (20 mins) here:
https://calendly.com/the41stwink/discovery-call
. If you are having any issues with our customer intake process, please feel free to email me at
the41stwink@gmail.com
.
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Who are you looking for the sleep support?
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Adult
Child (age birth - teens)
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