Which age range best fits your child? *

0–6 months

6 months – 2 years

2–5 years

5–12 years

What’s Most Tricky Right Now? *

Settling to sleep takes a long time

Waking often through the night

Early rising before 5am

Sleep feels unpredictable day to day

Naps/rests are hard to manage

Select all that apply

How Often Does This Happen? *

Occasionally (1–2 nights/days per week)

Most nights (3–5 nights/ days per week)

Every night (6–7 nights/days per week)

How’s It Affecting You & Your Family? *

We’re tired, but it’s still manageable

It’s wearing us down and affecting our days

It’s overwhelming and taking a toll on everyone

How many different things have you tried so far to help with sleep? *

Haven’t tried much yet, I’m looking for guidance first

Made some changes, but no real shift

Tried lots of things, but still stuck

Does Your Child Have Additional Needs? *

Yes, diagnosed (autism, ADHD, sensory differences)

Suspected, but not diagnosed

Perhaps, I’m not really sure

No, no indications of additional needs

Full Name *

Email *

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