Pure Bliss Sleep and Wellness Coaching
I want to know your struggles, personality, your situation, and your baby's story so I can share how my programs can help you!
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電子郵件 *
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Would you like to be added to my sleep tip and offers email list? I give priority/discounts/sleep suggestions to my email list before others! *
Your full name *

 
What are your goals as a mom? What are your goals for sleep for your child?

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On a scale of 1 to 10, how would you rate your current stress level? What is causing you stress?
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What is the most challenging obstacle or stressor you have had to overcome in your life thus far as a mom? How did you overcome it?
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What are 5 things that you feel are hindering you from happiness, feeling motivated, etc?
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What changes would you like to see in your life? What do you feel is hindering you the most from making those changes?
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What previous steps have you already taken to achieve your goals as a mom? What has been the result so far, and what have you learned?
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Where do you see yourself in a few weeks/months when after you finish sleep training? 
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Where do you see yourself in 1 month from now, when this program is over? What do you think it will take to get there?

Your baby's name(Moms with multiples: list each baby) *
Baby's age (Moms with multiples: list in the same order as name above) *
Which personality type best describes your baby? You may select more than one. *
必填
Which personality type best describes your baby? You may select more than one. (Moms with multiples: fill out for each baby) *
必填
Have you tried any sleep training methods or other sleep coaching programs? *
Which statement best describes how you feel about your baby crying? *
Your tolerance for crying lasts about 
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Please provide in detail, any information that will help me understand what's going on with your baby's sleep troubles. If you have specific questions you can include them here too. *
How did you hear about Pure Bliss Sleep and Wellness Coaching? *
Did someone refer you? *
Are you ready to start my program this month? I have limited spots available each month and I want to make sure you are all in and ready to change your life!
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Which of these sentences best describes where you're at with finances, lifestyle and priorities? *
Do you have the financial resources to transform your child’s sleep? My packages start at $300 and are based on your needs and level of support. *
Know that you want customized sleep coaching and support and want to start NOW, then say yes to this question and I will send you all of my 1:1 coaching options and pricing for sleep coaching for your baby or toddler. *
This question is for my Blissful Moms Program: Are you willing to invest in yourself financially to improve your postpartum health and wellness as a mom? Want more info on this program?
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