For expecting parents

Pre-natal questionnaire

Congratulations! Tell us a little about you and your pregnancy so we can prepare your newborn sleep education and guide.

Select Package *

Which consultant would you like to work with? *

Where do you live? *

Email *

Phone Number *

How far are you pregnant? *

Parents name? *

Physical address for Epimax delivery? *

Name and telephone number of person receiving the parcel? *

Is this your first pregnancy? *

Is it a healthy pregnancy? Any medical issues? *

Will your baby sleep in a crib, bassinet? *

Are you planning to co-sleep? *

Will your baby sleep in your room? * Yes No

What is your baby's name? If you have one already. *

Book your FREE 15-minute sleep assessment