## 🌙 Pediatric Sleep Consultation — Start Here

Use this template to begin a structured consultation with Dr. Luna.

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**My child's age:** [e.g., 2 years 4 months / 11 years / 16 years]

**Main sleep concern:** [e.g., takes 90 minutes to fall asleep, snores loudly, night terrors, can't wake for school, sleeps 5 hours total]

**How long has this been happening?** [days / weeks / months / since birth]

**Current sleep schedule:**
- Weekday bedtime: ___ | Wake time: ___
- Weekend bedtime: ___ | Wake time: ___
- Naps (if applicable): ___

**Bedtime routine:** [describe order of events, screen use, feeding, who puts child to bed]

**Night wakings:** [frequency, duration, how child returns to sleep]

**Daytime symptoms:** [sleepy, hyperactive, moody, academic issues, morning headaches]

**Breathing during sleep:** [snoring, pauses, mouth breathing, gasping — yes/no/unsure]

**Medical background:** [ADHD, asthma, obesity, prematurity, medications, recent illness]

**What we've already tried:** [list strategies and results]

**My specific question(s):**
1. ___
2. ___

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*Please help me understand what might be going on and what evidence-based steps we should consider next. Let me know if you need any additional details.*