The Declutter Coach Evaluation Form

The Declutter Coach Evaluation Form
Name*

First NameLast Name
Zip Code (Physical Address not need until billing)*
Best Email Address to be contacted at*
example@example.com
Best Phone Number where you can receiver texts*
Please enter a valid phone number.Format: (000) 000-0000.
How many Adults living in the house?*

12345 or more
How many Children living at home?

None123456 or more
Pets? (Dog or Cat)

12345 or more
How many bedrooms?*

123456 or more
How many full bathrooms?*

123456 or more
How many closets in the house? (Do Not include closets in bedrooms)*

1234 or more
Do you have a dedicated Pantry?*

YesNo
Do you have a Laundry Room? (With Washer & Dryer)*

YesNo
Do you have a Garage*

YesNo
Do you have a Basement?*

YesNo
Do you have an Attic?*

YesNo
Do you have a Shed*

YesNo
How long have you lived in your house?*

Just moved in1-5 Years6-10 Years11 or more years
Planning on moving within this year?*

YesNo
How Computer Savvy are you?*

ExpertIntermediateBasicI get byThis is a computer?
Do you have a Filing Cabinet*

YesNo
How much time can you set aside each week for organizing?*

1 Hour2 Hours3 Hours4 or more Hours
What are your priorities in getting organized and what area would you like to tackle first?*
Do you have any specific storage solutions available?*

YesNo
If Yes, What are they?
Do you have any sentimental items that you want to keep, but don't know whether to store them or display them?*

YesNo
Do you have any items that you are unsure about getting rid of?*

YesNo
Is there anyone else in the household who needs to have input or preferences for getting organized?*

YesNo
Do you have any physical limitations that we need to consider for getting organized?*

YesNo
Do you have any items that need to be stored in a specific way (e.g. temperature controlled, protected from sunlight)?*

YesNo
Are there any items that you need to keep within easy reach for accessibility reasons?*

YesNo
Do you have any deadlines or time constraints for getting organized?*

YesNo
If Yes, What are they?
Are there any items that you need to have easy access to in case of an emergency*

YesNo
Do you have any budget constraints that we need to consider for getting organized?*

Yes, I have a set budget that I don't want to go above.No, The sky is the limit $$$
If Yes, What are they?
What is a good date and time for our meet and greet? (Tuesday, Wednesday, and Friday are Available)*

MonthDayYear
Date
*
How did you find The Declutter Coach?*

CraigslistFacebookGoogle SearchInstagramLinkedInNextdoorPinterestReferralTwitterOther
If there is anything that you no longer need or use you can toss them out before our session starts.

We currently service the following Zip Codes;

32701, 32707, 32708, 32750, 32751, 32765, 32766, 32789, 32792, 32803, 32804, 32807, 32808, 32809, 32818, 32819, 32820, 32821, 32824, 32826, 32827, 32828, 32830, 32831, 32832, 32833, 32835, 32836, 32837, 32839, 32839, 33896, 34741, 34743, 34744, 34746, 34747, 34758, 34761, 34769, 34771, 34772, 34773, 34786, 34787

If you don't live within any of these zip codes, don't fret. We have amassed a network of Professional Organizers throughout the country that we can refer to you.

Sincerely, Bob Allaire / The Declutter Coach

thedecluttercoach.us@gmail.com
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