Infant Study Screening Questionnaire: The Role of Sleep in Infant Motor Problem Solving

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We are recruiting babies who were born 3 to 8 weeks before their due date. All participants involved in the study are given a Nanit Memories Insights Subscription (a $120 value), $50 gift certificate, and a developmental toy to thank them for their involvement. Please fill out this form and we will get back to you with more information. Thank you!

Email *

Your Name *

Phone number

Address or Zip Code *

Your Child's Name *

Your Child's Date of Birth *

YYYY

Was your child born prematurely? *

Yes

If your child was born prematurely, what was their gestational age at birth?

Can your child sit unsupported if placed in the sitting position, and play with toys? *

Yes

Does your child attempt to (or can they) transition from a sitting position to hands and knees? *

Yes

Can your child crawl? *

Yes

Do you have Nanit Baby Monitor? *

Yes

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