Toddler Questionnaire

Baby's Name

First Name

Last Name

Mom's Name

First Name

Last Name

Dad's Name

First Name

Last Name

Baby's Age

Where does your child sleep?

Does he/she stay in this location throughout the entire night?

What is your current night time/sleep schedule?

When does he/she go to sleep, wake in the middle of the night and wake for the day?

What is his/her demeanor when waking at night?

Talking? Squawking? Crying? Screaming? Does he/she get out of bed at this time?

What does your bedtime routine look like?

Does it vary from night to night or stay pretty consistent?

What does your nap time routine look like?

What is your sleep/parenting philosophy when it comes to sleep training your child?

How do you feel about some tears if it comes to that?

Describe for me your perfect night of sleep for your child?

How many total hours? How many wakings?

What is your participation level from your husband/significant other?

Is he or she willing/able to help throughout the process?

Tell me a little bit about your child’s personality at this point

Strong-willed, quiet and mild mannered, eager to please, stubborn, happy and content?