New Client Intake Form

New Client Intake Form

Thank You for Choosing What Clutter Co. LLC for all of your Organizing needs/ wants. We are here to assist you with becoming that much closer to an Organized Lifestyle. Organization is the Ultimate form of Sophistication.
Today’s Date*

MonthDayYear
Date
Name*

First NameLast Name
Date of Birth (MM/ DD)*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Postal Zip Code*

CityState / Province

Postal / Zip Code
Email*
example@example.com
Mobile Phone (voice)TextEmail
Employer/ Job Title
How Did You Hear About What Clutter Co. LLC?*
ie: Facebook. IG. If family or Friend (if friend Please name)
• PLEASE READ• Flat Rate: $279 which INCLUDES the Following: Sorting, Purging, Organizing, Zoning, Commute & Shopping. MOST spaces Require at least 24hrs. (6hr increments-Sessions) Ex: If You Require (4) Sessions Total Fee= 1116 (2) Sessions Total Fee= 558 {50% of the Total fee is due 24hrs BEFORE appointment} This Fee Does NOT Include: Products/ Supplies, Traveling Outside of service area, Oversized haul away or custom/ prefabricated materials & installs. • WHICH SPACE(s) WOULD YOU LIKE ORGANIZED? ~CHECK ALL THAT APPLY :*

CLOSET(s)FRIDGEKITCHENLAUNDRY ROOMPANTRYRESTROOMBusiness-Commercial Space $379 Daily Flat RateOther
YESNO
Work from home?Home School?NOOther
Yes, Dog(s)Yes, Cat(s)No PetsYes, Reptile(s)Yes, BirdsOther
1-- "NOT at All, I just don't have the time"2-- "Part of me want to Do Better & the other part of me Don't want to do it at all"3-- "I've been told I'm pretty Organized"4-- "I Got this, I just need a few pointers or support person"5-- "I wouldn't say OCD, but I do consider myself pretty Organized"
NOW, Ready to Go!Give me 2-4 weeks60-90 Days
YES, Ready to Schedule asap 🏃🏾‍♀️Not quite Ready to commit 🥹I will submit the form but let’s Chat 1stI'm Only Interested in a STAGING &/Or ORGANIZING Consultation at this time
Have You worked with a Professional Organizer in the past? YES / NO? If YES, how was your experience?blank
What Clutter Co. is based in Houston,TX however, we do travel all over the US. (Additional rates do apply) Will you need services outside of the Houston and Metropolitan Local area? *TRAVEL FEE: From 77027 • $50 for 25-50mi. • $125 for 51- 100mi. • $350 Over 100mi • Clients out of state (TX) or over 250mi in/out state are responsible for Airfare & Ground transportation (case by case)
Travel Fee Applies if more than 50 miles away from 77027. International Travel not currently available.
Do not hesitate to leave a comment below OR feel free to: Call/Text 713-385-0498 & ~~Congratulations!! You made it this far which means you’re ready for Change!! If you understand & acknowledge all the information above please SIGN & SUBMIT. All info is kept private & confidential. I will personally reach out to you within 24hrs of submission to Book an In-Person Assessment (unless you are scheduling a CONSULTATION) otherwise ALL Assessment appointments require a Non-refundable $69 Deposit {Due @ scheduling} Thank You, Shanda🌹
Answer here and/ or Email Shanda@whatclutter.com
Signature*
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