What is your name and your partner’s name?
What is your address?
What is your child(ren)’s name and date of birth, or your due date?
What is your phone/text number and email?
Which do you prefer we use?
How many nights per week do you wish to have service? Any preference on nights of the week? (We know this might be a guess!)
What is the approximate date for service to begin?
What is your best guess for how long you’d like to have care?
Which timeframe do you prefer? 10p-7a or 10pm-6a? We can also accommodate other times but these are the most common.
On a scale of 1- 10, with 10 being the most important, how important is breastfeeding instruction to you?
Are there any medical needs of which we need to be aware?
Do you have other children? What are their names and ages?
Do you have any pets? What type?
Are there any food restrictions in the home?
Where would you like the caregiver and child to be set up?
Where will the caregiver park...is a parking pass needed?
Is there anything else you would like us to know, or requests we may accommodate?
Who may we thank for referring you to Let Mommy Sleep?