Sleep Assessment Form 2018-07-06T16:12:02-04:00
Baby Sleep Intake Form
Welcome to Baby Sleep Maven! I’m so glad you’ve taken the first step towards a more rested home. This assessment form will give me the information I need to customize a sleep plan for your baby. The more information you provide the more I will be able to help, so please answer each question with as much detail as possible. Expect to spend 15-20 minutes answering the questions.

Tell me a little bit about yourself, Mama

Let's get to know your Baby

When teaching a baby to sleep through the night, the natural wakeup time will be between 6-6:30 am. With some additional work, you can teach your baby to sleep until 7 or even 7:30 am, but it requires additional work and time on your part. Either one is ok for your baby.
This can be about your baby, about you, about your house or sleep setup, or anything!
Terms and Conditions

By checking the box below you agree to the following terms and conditions: The information/advice provided during this consultation is not medical advice. The advice is for informational purposes only and is intended for use with healthy children with common sleep issues that are unrelated to medical conditions. The information provided is not intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician with any questions you may have regarding a medical condition or the health and welfare of your baby. By checking this box, you agree to consult with and get approval from your pediatrician before following the advice or using the techniques offered during this consultation. In no event will Riki Taubenblat or Ricky Shafier be liable to you for any claims, losses, injury or damages as a result of reliance on the information provided. Although all attempts have been made to verify that the information provided is accurate, Riki Taubenblat or Ricky Shafier does not assume responsibility for errors, omissions or contrary interpretation of the subject matter within the consultation. Reliance on any advice given by Riki Taubenblat or Ricky Shafier is solely at your own risk. I understand that all coaching will take place via email and there are no phone calls, video calls or texting included in this consultation. Refunds are given solely at the discretion of Ricky Shafier or Riki Taubenblat and cancellations are non-refundable.