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Family Information Notebook (FIN) - Vanderbilt Kennedy Center

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CHILD’S NAME: DATE OF BIRTH:<br />

34<br />

BEDTIME ROUTINE<br />

Usual time your child goes to bed: ________________________________________<br />

Comments: ___________________________________________________________<br />

_____________________________________________________________________<br />

_____________________________________________________________________<br />

_____________________________________________________________________<br />

Physical care (bathing, brushing teeth, giving medication, extra padding and diapers,<br />

etc.): _________________________________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

_______________________________________________________________<br />

Bedtime rituals (songs, books, prayer, positioning, use of pillows, sheets and blankets,<br />

favorite toys, use of night light, etc.): ________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________<br />

Does your child sleep through the night? ________<br />

If not, what helps him or her go back to sleep?<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

______________________________________________________________________<br />

___________________________________________________________________<br />

© Junior League <strong>Family</strong> Resource <strong>Center</strong> 2005

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