Organizing Chaos Customer Intake

Interview Questionnaire
Hi, Stranger! Thank you in advance for completing this form. Expect to hear back from me within 24 hours.

All information is strictly confidential.
Date*

MonthDayYear
Date
First & Last Name*

First NameLast Name
Age
Please provide a range. For example, 40-50.
Sex*
Address - This is required because I need to know the area you live in.*

Street Address

Street Address 2

CityState

Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Questions and Details

Please be as thorough as possible. I tailor each organizing system to the client so the more I know, the better I can help.
Describe yourself and your lifestyle in few words.*
For example, your personality type, what you do for a living and if you work from home, your family size, hobbies, etc. Are you someone who tends to stay in or are you always in and out?
Hiring within 48-72 hoursReady to HireResearching Options
KitchenPantryLiving RoomBathroomsGeneral ClosetOfficeBedroom ClosetMudroomBasementPlayroomGarageOther
How organized would you consider your home now?*
Peace of MindAnxiety ReliefEmpowermentOther
Organizing and Space OptimizationStorage AdviceDecluttering (Keep, Donate, Trash, Consignment)Office/Paper ManagementMoving Prep/UnboxingVisual Appeal
What answers or solutions are you most looking forward to getting?*
Type the question or explain what you're trying to get out of this.
Are you interested in becoming part of the Organizing Chaos Community on Facebook or in-person events?*
Please feel free to share any other information you'd like me to know. Anything goes!
Is there a time in the day or upcoming dates that would work best for you?*
Should be Empty:

Interview Questionnaire

Hi, Stranger! Thank you in advance for completing this form. Expect to hear back from me within 24 hours.

Questions and Details