Sleep Questionnaire
Care That Goes Beyond
Your Child's Night-Time and Daytime Habits
Healthy sleep plays an important role in a child’s growth, development and overall health. As part of our orthodontic evaluation, these quick questions about your child’s night-time and daytime habits help Dr. Dhol understand their sleep and breathing and guide treatment planning. It is used for screening only.
Before You Start
- A parent or guardian should fill it out.
- Think about your child’s usual night, not one unusual night.
- Choose “Don’t Know” if you are not sure.
Questions about this form? Call or text our South Surrey office at (604) 502-5155.