Sleep Questionnaire

Please describe.
Please include whether you feed both sides at every feed?
Please include how many mls per timings of bottles.
Please indicate if they are eating morning tea and afternoon tea.
If not could you please purchase one before I come.

Please begin to keep a log of your day and night for three days prior to our appointment. I would like you to note wake times, sleep times, milk, solids and how you settled to sleep each nap/bedtime/wake during the night

To confirm our consultation, a non-refundable deposit of $100 is required.

Please pay the full amount owed for the one hour phone consultation in advance.

My bank details are as follows:

ING Direct

Account Name: Chantal Cohen

BSB: 923-100

Account number: 31826713

“To take into account my travel time and costs I do add an additional $50 travel fee to homes further than 30 kms from Beecroft. Thank you for your understanding”.

When I come please have your little one ready for a nap/bedtime. They can be playing on the floor quietly with TV off. I will spend a bit of time letting them get to know me and then you and I will discuss the current issues and how I am proposing to settle your child going forward. You may like to offer your child a breast/bottle at this time. Then we will move into the bedroom where I will demonstrate how to settle and you can watch on a video baby monitor or from a spot in the room.