Routine SOS Call Questionnaire
Thank you for signing up for a coaching call! Please complete this form to the best of your ability so I can better understand your needs and provide simple solutions to help you!
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Name *
Email Used to Purchase the Routine SOS Call *
Please answer the questions below in preparation for the coaching call
These answers will help me prepare the call and offer you personalized solutions! Please be specific as possible :)
Which do you identify the most with? *
Required
How many children do you have? Please include ages! *
What does your overall daily routine look like now? *
What does your child's overall daily routine look like now? (Example: wake, feed, 2 hours awake time, nap) *
All About Routines!
Please answer the next questions with your overall routine for each category. You do not need to state specific times in your routines, just an overall list or series of events will work. This will help me help YOU!

Example: Baby nap routine- feed, burp, sing song, turn on sound machine, place in crib.
What area of your daily routine are you currently struggling with the most? *
If you could fix one thing in your day to make you feel less stress, what would it be? *
Please list any routines you currently have in place for your children and what would like help with the most. (Example: My baby has a nap routine and play routine but I need help with bedtime routine) *
Please list any home management routines you have in place and what areas you need help with the most. (Example: I have a laundry routine & meal prep routine, need help with keeping my living room clean) *
What area of the day do you dread the most? *
What area of the day do you enjoy the most? *
Do you have time for your personal self-care on a weekly basis? *
Is there anything you would like for me to know about you?
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