Intake Questionnaire

Tell us a bit about yourself

In order to complete your email consult or prepare for your phone consults we like to get to know our clients. Please fill out or intake form below so we gain an understanding of your situation.

Please note:

For Email Consults - your sleep plan will be emailed within 2 business days of receiving this form.

For phone consults - please complete form at least 2 hours prior to your scheduled call.