Name:

Email:

Address:

Home Phone:

Cell Phone:

What prompted you to join me on the Conscious 6-Figure Success Summit?

For this Success Summit offer, which room or area are you interested in organizing?

What does organization look like to you?

When you walk into your current space, what do you see?

What do you want to achieve by getting organized?

Have you ever worked with a professional organized before? If so, what were the results?

How do you feel about opening your home, drawers, closets and life to me?

Describe the positive things you see when you walk into your current home or office:

Are you on a timeline? For example you’re moving and need to downsize, discard and donate by a certain date

No
Yes

If yes, what is your deadline?

Donate:

Sell/Consign:

Recycle:

List your favorite charities for donations:

What negative effects does disorganization have in your life today? For example: Financial, Energy, Time-waster, Frustration, Overwhelm

What are the main causes of disorganization for you?

Have you been organized in the past? If yes, when? What changed?

When you walk into your home or office, describe the emotions that you immediately feel?

In what areas are you most organized?

Please indicate which of the following statements you agree with:

I consider myself a perfectionist
I am artistic
I need to see my stuff to remember to use/do it
I like to repurpose or invent new ways to use things in your space
I fill up every flat space with stacks
I operating at one speed – “full-speed”; starting and not finishing projects
I revere history, collect, research, save original documents, artwork, keepsakes
I thrive on abundance
I get attached to things
Don’t have a place for things
Don’t know how to set up a system
Hard for me to get rid of things – I might need them someday.
Not enough cooperation from others
I have too much stuff to fit in my home/office.

Do you live with anyone else? Whom?

How does disorganization affect those around you?

I have these items:

A shredder
Household help
Child care
Administrative assistant
Handyman/woman
Storage locker

Are you able to purchase equipment, if recommended? (For example, filing cabinets, closet organizers, stainless steel shelving, large plastic tote bins)

Yes
No