Sleep Consultation Evaluation

EVALUATION OF THE SLEEP CONSULTATION BY THE CLIENT

International Parenting & health Institute would appreciate you taking a moment to evaluate your perception of the sleep consultant's role. Please complete the sections below and give your ratings that most closely reflect your opinion of the sleep consultant's contribution.

Sleep Consultant's Name:

Volunteer's Name

First Last

Phone

Date of Birth

The Sleep consultant acted in a professional manner

The sleep consultant returned emails and phone calls in a timely manner

The sleep consultant was responsive and respectful to your needs and goals

The sleep consultant was responsive and listened to my needs

The sleep consultant was knowledgeable of sleep

The sleep consultant clearly described to me action steps

The sleep consultant was able to answer all of my questions

The sleep consultant could explain progress, changes and setbacks that may occur during transition

The sleep consultant provided assistance, reassurance and guidance during our time together

The sleep consultant demonstrated good listening skills

The sleep consultant was able to explain some straegies that were helpful in establishing healthy and positive lifestyle sleep habits

Please describe any assistance and education the sleep consultant provided in relation to your lifestyle and health

What was the most valuable aspect of the sleep consultant's support?

What would you suggest the sleep consultant work on to improve his/her support?

Any additional comments you share about your experience with the sleep consultant:

Thank you very much for taking the time to complete this evaluation. It will be emailed to maternityinstittue@gmail.com so that she may use it for certification purposes.