Intake Form Name * First Name Last Name Email Address * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country What are your areas of concern? home office mail/papers/filing kitchen dining room living/family room bedroom kids’ room basement garage attic craft room laundry entryway other What's motivating you to get organized? stress frustration relationships move job change remodeling illness can’t find things can’t have people over need storage solutions new baby too much stuff (packrat) just can’t get started by myself need defined “homes” other Have you tried to get organized on your own or with another PO? Yes No If so, what worked/didn’t work? What has kept you from accomplishing your organizing goals? Describe yourself: born disorganized born organized, but a life circumstance has occurred that has made me disorganized Size/type of home or office? If a home, how many family members? Do you have any pets? Yes No Is your family ok having a professional organizer visit? Yes No Do you want your family to help? Yes No Any special needs to consider? Are there any religious needs of which I need to be aware? What do you do for a living? Do you have a budget in mind? Time frame in mind? Days/times available to work with an organizer? How did you find out about me? Thank you!
