Contact Erica

Certified Gentle Sleep Coach | Erica Shane Childbirth

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Your name *

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Last

Phone Number *

Email *

How did you hear about my services? *

For parents with babies younger than 6mo:

How many weeks old is your child? *

Please list your current struggles in regards to sleep: *

What do you hope to learn during our consult? What changes would you like to see in regards to your baby's sleep and well-being? *

For parents with children 6mo- 4yrs:

How old is your child (months and weeks)? *

Where does your child sleep? (your room, their room, bassinet, crib, toddler bed, your bed). *

What time does the bedtime routine usually start? What time is your child usually asleep? *

Does your child breastfeed, formula feed, bottle feed, or both? *

Is your partner/spouse on board with hiring a sleep coach? (it is important that they review the site and attend the interview call) *

How do you help your child get to sleep for naps, bedtime, and during night arousals? How often do they wake for food, comfort? *

Please highlight your current struggle. *

What goals do you hope to achieve in regards to your child’s sleep? *

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