You are on page 1of 1

All about me

Child’s Name _______________________


Nick Name _________________________
Brother’s Name _____________________
Sister’s Name _______________________
My cute
My Fav. Color(s): ____________________ Photo
My Fav. Toy(s): ______________________
My Fav. Book (s): ____________________
My Fav. Food (s): ____________________

How would you describe your child’s personality?


_____________________________________________

Does your child have a regular bedtime schedule ( ) yes ( ) no


What time does your child usually go to bed at night? ________
What time does your child usually wake up in the morning? _______
Does your child have trouble sleeping? _____ Night Terrors? ______
Trouble going to sleep? _______
Other: _________________________________________________
What time(s) and for how long does your child usually nap? ________
Are there any special dolls, blankets, etc. that your child needs to go to
sleep? _____________________________

Does your child has any known health problems? ( ) yes ( ) no


If yes, describe: ___________________________________________
Does your child have any known allergies? ( ) yes ( )no
If yes, please list allergies: ____________________________________
Special instructions in case of an allergic reaction:
_____________________________________________________

You might also like