Knit Health's 30-Day Sleep Assessment

Thank you for your interest in Knit Health's 30-Day Sleep Assessment. To help us fill the remaining spots in this free, exclusive program please complete the following information. The form will take less than 2 minutes to complete and your personal information will remain completely confidential and secure. 

Your Name *
Your Name
This will be the person who will use Knit daily and answer survey information during the 30 day assessment
This helps us customize your Knit experience to you and your child
This helps us personalize your sleep assessment to your child's age and needs
Please select all that describe your child in regards to their nighttime sleep *
Please select all that describe your child in regards to their daytime behavior *
Please select all that describe your child's bed and environment *
Our sleep monitoring technology works most accurately when it has a clear and unobstructed view of your child sleeping. Understanding your child's sleep environment helps us determine if our sleep monitoring technology will work well for you
What type of smartphone would be used with Knit? *
Currently Knit only supports iPhone devices
How strong of a wifi (router) signal do you have in your child's bedroom? *
Shipping Information
Cell Phone Number *
Cell Phone Number
This is the number you will receive "text based" daily surveys for the assessment
Please enter name of person who referred you (if applicable)
Name of additional user who will use Knit
Name of additional user who will use Knit
(if applicable) please add contact info and email address of parent or child who would like to have separate access to daily and weekly sleep data.