Intake Form

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Intake Form

Want to work with us? Please fill out this form if you would like to reserve your Night 1.

Booking steps

1. Fill out the intake form below

2. Book your discovery call - We will contact you to schedule our call

3. Confirm your night 1

4. SLEEP!

Before we begin...

Congratulations on taking the step towards helping your baby sleep independently! We can help you get there but we want to make sure you know what this means.

Please checkmark each box to indicate that you are committed to the following:

Note: if you're not ready to commit to the below right now and if that's working for you -- that's totally okay too! You likely don't need our services at this time :)
If this ever changes for you, please reach out!

removing all sleep props including the pacifier and swaddle

stop feeding baby to sleep (you can still do night feeds if needed -- we will walk you through this!)

stop rocking baby to sleep

stop co-sleeping

putting baby to sleep on their back in the crib wide awake

I acknowledge that crying/protest is a normal part of the process (we know this can be stressful -- we'll go over this on our call)

Full Name

Baby's Name

Baby's Birthday

YYYY

Baby's Due Date

YYYY

Baby's Weight

Best email to reach you?

Phone number *

When is the best time of day to reach you? *

What city and country do you live in? *

Describe a typical day with your baby. How does your baby nap? How long do they sleep for? *

What are your main concerns regarding your child's sleep? *

Where does your baby/child sleep? If they are in a big kid bed, at what age did you switch them from their crib? *

Do you room share? *

yes

Other:

What are your sleep goals? *

Would you like to be part of our email distribution list?

Yes

Clear selection

Please see our website for what's included in our various Supportive Sleep Coaching packages.

Please pick an approximate date that you would you like to start Night 1 of your program. (We will get in touch with you to confirm the date and then book your 1-hour virtual consult prior to Night 1 after you've signed your contract and paid the invoice).

Please note, baby must be at least 4 months old on Night 1.

YYYY

How did you hear about The Good Snooze? (Referral, Instagram, Tik Tok etc. If it was a friend, what's their name?) *

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