Newborn Care Sleep Intake Questionnaire Newborn Care Sleep Intake Questionnaire ΔFirst NameLast NameEmailBrith date of infantIf your infant was born premature, what is his/her adjusted age?Do you have a bedtime routine? If yes, please explain.Which, if any, sleep aids do you use for your infant? Swaddle (before 8wks) Sleep Sack (after 8 wks) Black out curtains/blinds White Noise Same sleep space everytimeWhat is your routine for putting your baby down for nap and bedtime?Do you use an app like Huckleberry to track infants sleep/feedings? Yes NoIf yes, which one? Would you mind inviting me to share so I can see patterns?If you don’t use an app, please write below or upload file that outlines tracking three days of sleep and feedings. Information requested: Sleep start/stop times, feeding start time, amount fed (time if breastfeeding), diaper changes, and activity during awake times.File UploadChoose File Submit Form
