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37
Questions
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1
Name
Please use an alias (Do not use real names or use only first name and last name initial)
First Name
Last Name
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2
Are you male or female
Pick one
Male
Female
Other
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3
What is your age range?
Choose one age range
0-10
11-20
21-40
41-65
Above 65
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4
How would you describe your general personality?
*
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Multiple choice
Calm & Thoughtful
Easygoing & Spontaneous
Energetic & Fast paced
Focused & Detail Oriented
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5
When you can’t find something important, what’s your first emotion?
*
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Multiple choice
Motivation to get organized
Panic
Indifference
Frustration
Other
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6
How do you usually start your day?
*
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Multiple choice
With a plan
Slowly and reflectively
In a rush
Reactively (responding to tasks as they come)
Other
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7
How do you keep track of daily responsibilities?
*
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MultiCheckboxes
Phone reminders
Written lists
Mental notes
I wing it
Other
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8
Which of these describes your environment best?
*
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Multiple choice:
Cluttered but manageable
Minimalist
Chaotic
Neat but busy
Other
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9
How do you feel about routines?
*
This field is required.
Linear scale (1 = Hate them, 5 = Love them)
1
3
2
4
5
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10
When something goes wrong, what do you tend to do first?
*
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Multiple choice:
·
Look for the cause
Blame myself
Move on quickly
Fix it immediately
Other
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11
Do you think being disorganized is part of your personality or something you can change?
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Multiple choice:
Part of my personality
Not sure
Something I can change
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12
Which describes your relationship with time?
*
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Multiple choice:
Always ahead
Usually on time
Often late
Constantly rushing
Sometimes Early/late
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13
When you lose something, how long do you usually search before giving up?
*
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Multiple choice:
A few minutes
10–30 minutes
Over an hour
I can’t stop until I find it
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14
Do you tend to multitask or focus on one thing at a time?
*
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Multiple choice:
Always multitask
Sometimes multitask
Rarely multitask
Never multitask
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15
How often do you reflect on your personal habits or systems?
*
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Linear scale (1 = Never, 5 = Regularly)
1
2
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5
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16
Do you consider yourself emotionally attached to certain possessions?
*
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Multiple choice
Yes, very
A little
Not really
Only for sentimental items
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17
Which do you value most?
*
This field is required.
Multiple choice
Time
Money
Control
Peace of mind
Other
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18
What would you like most to improve about yourself through this program?
Short answer
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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19
Tell me what you think about these
Slide the emoji (Left is Disagree, Right is Agree)
You only live once
Friends come and go
Family is everything
Don't fuss anything
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You only live once
Friends come and go
Family is everything
Don't fuss anything
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20
Multiple Questions
On linear scale of 1-5
How often do you spend 5+ minutes searching for something you just had? Linear scale (1=Never, 5=Always)
I have lost one particular item several times that I can remember. (1=Disagree, 5=Agree)
How often do you buy a duplicate because you can’t find the original? Linear scale (1=Never, 5=Very often)
Sometimes, your day has been hugely impacted by the fact that it started with you forgeting something at home or lost something you needed for the day. (1=Strongly Disagree, 5=Strongly Agree)
How tidy is your main surface right now? (Nightstand, Table, Mirror table) 1= very untidy, 5=very tidy
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How often do you spend 5+ minutes searching for something you just had? Linear scale (1=Never, 5=Always)
I have lost one particular item several times that I can remember. (1=Disagree, 5=Agree)
How often do you buy a duplicate because you can’t find the original? Linear scale (1=Never, 5=Very often)
Sometimes, your day has been hugely impacted by the fact that it started with you forgeting something at home or lost something you needed for the day. (1=Strongly Disagree, 5=Strongly Agree)
How tidy is your main surface right now? (Nightstand, Table, Mirror table) 1= very untidy, 5=very tidy
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21
Which items do you misplace most often?
Checkboxes
Phone
Keys
Wallet/Purse
Charger/Cables
Important documents
Glasses
TV remote
Work badge
Other
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22
Where do you most often lose things?
Multiple choice
At home
In the car
At work
On-the-go (shops/gyms)
Online clutter (files/passwords)
Other
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23
When you misplace an item, what’s the usual reason?
Multitasking
Rushing
Tired/stressed
Cluttered space
No set “home” for it
Distractions
Other
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24
How many of your daily essentials have a designated “home”?
Multiple choice
None
A few
Most
All
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25
Do you use a “before I leave” checklist (mental or written)?
Mulitple Choice
Never
Sometimes
Often
Always
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26
Do you have items in storage you can’t easily access (causing re-buys)?
Multiple choice
No
A little
Quite a lot
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27
Which tools have you tried to stay organized?
Checkboxes
Labels
Trays/hooks/bowls
Color-coding
Phone reminders
Calendar blocks
Tile/AirTag trackers
None yet
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28
How do you usually feel when you can’t find something?
Checkboxes
Calm
Annoyed
Anxious
Angry
Embarrassed
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29
Which routine would help you most right now?
Multiple choice
Nightly 3-min reset
“Landing zone” for essentials
Weekly 15-min paper/file tidy
Digital declutter (email/files)
None yet
Others
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30
What’s your #1 goal for the next 30 days?
Short answer
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31
When you lose something, do you usually know how it happened—or does it always feel random?
Choose one
I Know
Random
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32
What do your lost items say about your life right now?
Checkboxes
Busy
Distracted
Overwhelmed
Calm
None yet
Other
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33
What’s one thing you learned about yourself from this quiz?
Short Answer
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34
What’s one small step you can take this week to stay more organized?
Short Answer
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35
How would life feel different if you stopped losing things regularly?
left=Very low, Right=Very High
How motivated are you to change your routine after today? (Scale 1-5)
How motivated are you to get help?
How much has this quiz taught you
How motivated are you to do the SLS program
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How motivated are you to change your routine after today? (Scale 1-5)
How motivated are you to get help?
How much has this quiz taught you
How motivated are you to do the SLS program
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36
How would life feel different if you stopped losing things regularly?
Short Answer
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37
Email
Email
example@example.com
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