Tell Me About You
This information will help me with the creation of your customized organizing plan.
Name
*
First Name
Last Name
What is the best email for you?
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Best Phone Number to reach you
*
Can you accept text messages at the above number?
*
Yes
No
Your age range
20-45
45-65
65+
# of household members, include those who are there on a routine basis
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Square footage of home
*
# of bedrooms in home
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
# of offices/spare rooms in home
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Additional spaces in your home where you store things
Attic
Basement
Garage
Other
What spaces need to be organized the most?
Office or Hobby Room
Bedrooms
Closets only
Shared living spaces
Attic, basement, and/or garage
Other
When you want to get organized, do you....
*
not know where to start and don't
spend a lot of time moving stuff and get very little done
get everything organized but it gets disorganized quickly
organize and it stays that way
Other
Have you experienced an event that significantly impacted your household?
Yes
No
Do you have an upcoming event that will significantly impact your household?
Yes
No
When our work together is done, what will you be able to do that you can't do now or are having a hard time doing now?
e.g. cooking with the kids, enjoying time to read, having guests
Do you think you feel different from organized people?
Yes
No
I'm not sure
If yes, how do you think you feel different?
Lifestyle
What is your occupation?
homemaker, marketer, lawyer, etc.
If employed, do you work:
Outside the home, Monday-Friday, 9-5ish
In the home, Monday-Friday, 9-5ish
Outside the home, non traditional hours
In the home, non traditional hours
What clubs, memberships or organizations take up your time?
e.g. fitness routine, business or social networking
What children's activity take up your time? Include even if only driving your children.
e.g. sports, extra curricular activities, school activities
Do you have a side hustle or passion project that takes up your time? If yes, please list activity.
Do you have any responsibilities regarding elder care or home care of others?
What are your interests and/or hobbies?
What other interest of yours did I miss?
Your Own Physical Challenges
Any back or mobility issues
Back
Next
Save
Your Space
When looking at flat surfaces in your space, what do you see?
All clutter, no visible surface
Mostly clutter, little visible surface
Less clutter, more visible surface
No clutter, all surface is visible
When you look at your clutter, is it closest to
a single layer cake
a nine layer cake
Would you like to receive my newsletter?
Yes, please
No, thank you
How did you hear about Bright Organizing Solutions?
Facebook
LinkedIn
Local TV
Friend
All of the Above
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