Free Bedwetting & Sleep Questionnaire
A short, anonymous questionnaire designed to help me understand your child’s bedwetting and sleep pattern before we speak. Takes about 5 minutes. No names are required — only an email address or WhatsApp number, so I can get back to you on WhatsApp with my initial impressions and the recommended next steps.
Want to read up first? See our central guide: How to Stop Bedwetting — A Step-by-Step Guide.
What this questionnaire is for
Most parents who write to me already have a clear sense that something needs to change but are unsure whether their child is a good candidate for alarm-based treatment, whether constipation or anxiety might be playing a role, and what to expect from a proper assessment. This questionnaire helps me give you a thoughtful, personalised answer to those questions — for free, before any commitment to treatment.
What the questionnaire covers
- Bedwetting pattern — frequency, timing, primary or secondary, family history
- Sleep — bedtime, wake time, depth of sleep, snoring, restlessness, night waking
- Daytime urinary symptoms — urgency, frequency, daytime accidents
- Bowel habits — frequency, consistency, any constipation (a major and often overlooked factor in bedwetting)
- Fluids and toilet routine
- Previous treatments tried
- Any anxiety, school or family stressors that might be relevant
What happens after you submit
- I personally read every questionnaire — they do not go to an assistant or a chatbot.
- Within 48 hours you receive a written reply from me with my initial impressions, an honest view of whether alarm-based treatment is likely to suit your child, and the recommended next step.
- If you wish to proceed, I send you a link to arrange a comprehensive assessment. There is no obligation.
Privacy
- No names are required. You may use a first name only, an initial, or leave the field blank.
- Only one contact detail is needed — either an email address or a WhatsApp number — so I can reply on WhatsApp.
- Responses are stored securely and used only for the purpose of giving you a clinical reply. We do not share data with third parties. Read our privacy policy →