Your Sleep Map intake form

This form takes around 10 minutes. Please share as much detail as you can, even if something feels small or messy - it all helps. If you can, set aside a quiet moment, grab a warm drink, and complete it in one sitting. I can't wait to make your video! 💛

Ready for Change Checklist

By ticking the agreement box at the end of this form, I confirm that I have read and agree to the following:

I confirm that I will disclose any known or suspected medical, developmental, or health conditions that may affect my child's sleep. I understand that Young Sleep Support does not provide medical advice and that it is my responsibility to seek medical clearance where required.

I confirm that my child's sleep environment is safe and follows the safe sleep guidelines applicable in my country of residence. I accept full responsibility for my child's sleep environment and safety at all times.

I understand that Young Sleep Support does not use cry it out, controlled crying, or any variation of these methods. I understand that changes to sleep may involve periods of crying or distress. I acknowledge that my child will not be left unsupported, and that some level of upset does not indicate harm.

Client Agreement

Services included

Shannon will review this intake form and record a 15-minute video with advice personalised to your child, their sleep situation and your sleep goals (in line with what is age appropriate). Your video will be emailed to you within 3 business days of submitting this form.

Refunds

If Shannon reviews your intake form and determines your situation needs more than a Sleep Map can give, you will be told honestly and refunded in full before any work begins. Because your purchase books a limited spot that cannot then be offered to another family, change-of-mind refunds are not available once your spot is booked.