Questionnaire

Please complete the questionnaire below in as much detail as possible, it only takes about 5 minutes to fill it in. Be honest, there are no right or wrong answers. Each child is an individual and Marta would like to provide you with a personalized service.

Also please email Marta with your child’s / children’s 48 hours diary. The diary should be kept simple, so that it doesn’t take up much of your time and should include information on sleeping (time and length of sleep), feeding (time and amount) and play time.  An example can be found here.

Providing the information will help Marta to use her time more effectively during the consultation and working on that perfect routine, as well as, solving any sleep problems will be much easier.

A small list of words used in British and American English

dummy – pacifier
cot – crib
nappy – diaper

 

Questionnaire
































All information provided will be kept confidential and will not be shared with third parties.