The  first step in solving the bedwetting problem is getting an evaluation.   

WELCOME TO THE EVALUATION PAGE OF THE
Sleep Disorder Resource Center Inc.
A Christian Based Company

11771 Lehring Rd. Byron, Mi. 48418 810-266-4491

This free evaluation service is provided for you by the director of the Sleep Disorder Research Center, Dr. T.L. Goupil. To do this evaluation, we will ask you to provide personal information. We only use this information to provide you the cause of enuresis (regular night time bedwetting) and whether or not our program will be of help to you. We do not sell, rent or lease any of this information to third parties. If you choose not to give this information, just return to our home page at this time.

If you wish Sleep Disorder Research Center to do this free evaluation for you, please fill this out as best you can, then click the Submit button at the bottom. Dr. Goupil will get back to you soon with the results.

It is very important to get an evaluation for this problem. There are so many ideas that do not correct this problem. There are also many companies who do know really know how to properly and permanently correct bedwetting. We counsel parents all the time who have tried ideas and companies, only to find out later that the bedwetting was not corrected.  This can be expensive, and very frustrating for everyone. This information is kept confidential. Doing this evaluation will help you understand the problem, and make an educated decision to correct this problem.

E-mail Address: *
Name
Name of enuretic
Age of enuretic
Male or female
Your relationship to enuretic
E-mail address
Phone number
Does the enuretic take meds for anything
Does enuretic have daytime control
Have you taken the enuretic to doctor for bedwetting
If so, what did doctor say
Have you tried getting the enuretic up during the night
Have you tried restricting liquids
Have you tried rewards
Does the enuretic grind teeth during sleep
Does enuretic sleep walk
Does enuretic perspire during sleep
Is there history of this in family
Have you tried an alarm device
How would you rate the self esteem of enuretic
How often during the week does a wetting occur
Does enuretic use dairy products daily
Is enuretic affectionate
Is enuretic on grade level in school
Have you read over the information on the web site
What type of bed does enuretic sleep on..single, double, queen
Is enuretics bedroom on the same level in the home as parents
How many other children in the home
Do any of other children have this problem
Has enuretic ever had sleep over
Has enuretic ever gone to camp
Does wetting occur while on sleep over, camp, or vacation
Would you say the enuretic has high energy level
Has enuretic ever been tested for ADD or ADHD
Do you think enuretic has short attention span
Do you think the enuretic wants to be dry
Do you think the enuretic is a deep sleeper
Are you using disposable diapers
How many dry nights in a row has there been in the last month

The information sent to the Center with this form is kept strictly confidential.
* Required