Client Intake Questionnaire

Home Organization

Welcome to Room Redefined: Home Organization

Thank you for taking the time to complete this questionnaire. At Room Redefined, we are committed to bringing about lasting change for you and your space. We craft personalized solutions to meet your organizational needs and bring about lasting change.

There is no “right” answer to any of these questions. We want to be sure you are completely happy at the end of our work together, and asking these questions helps us better understand your hopes and develop the individualized supports and solutions to make that happen.

We recognize that sharing this information requires a commitment of time and trust from you. The intimacy and detail of the questions reflect the quality of the support we offer. In return, Room Redefined pledges to hold this information, as well as all of our work together, in strictest confidence. Please let us know if you have any questions.

We look forward to helping bring about “your space, but better.”

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General Information

Introduce us to you and your home.

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Preferred way to contact you(Required)

Phone Call

Text Message

Parking Instructions(Required)

Hidden

How many people live in your home?

How many people live in your home?(Required)

For each person who lives in your home, please share their name, age, relationship to you, and whether or not they live with you full or part time.(Required)

Do you have any pets?(Required)

Yes

Please list your types of pets and their names.(Required)

Do any of your pets create constraints or have special needs we need to consider when organizing your space?(Required)

Yes

If yes, please explain what special needs or constraints your pets have.

What is your job/profession?(Required)

Do you work from home?(Required)

Full Time

Part Time

Rarely

Temporarily

Not at all

If you work from home, do you have a designated home office (with a door)?(Required)

Yes

Other

If you do not have a designated office, where do you typically work?

Do you have a spouse?

Yes

What is the job/profession of your spouse? (Enter N/A if not applicable)(Required)

Does your spouse work from home?(Required)

Not Applicable

Full Time

Part Time

Rarely

Temporarily

Not at all

If your spouse works from home, do they have a designated home office (with a door)?(Required)

Yes

Other

If they do not have a designated office, where do they typically work?

Describe your Home

Year Built(Required)

Overall sq. ft(Required)

Number of Floors(Required)

Number of bedrooms and bathrooms(Required)

Is your basement finished or unfinished?(Required)

How many years have you lived in this home?(Required)

How many more years do you plan to stay in this home?(Required)

Do you have a garage?(Required)

Yes

How many cars fit in your garage?(Required)

Do you park in the garage?(Required)

Yes

If no, do you want to park in the garage?

Yes

Do you have an off-site storage unit?(Required)

Yes

What is the size of your storage unit?(Required)

What day of the week is trash pickup, and how often does trash get picked up?(Required)

What day of the week is recycling, and how often does recycling get picked up?(Required)

Does your trash service allow for the pickup of larger items?(Required)

Yes

I Don't Know

How often are larger items picked up?(Required)

Your Projects

Help us better understand your needs.

What is motivating you to contact Room Redefined? (Check all that apply.)(Required)

Recent Move

Upcoming move

Upsizing

Downsizing

Remodeling

Combining households

New baby

Super busy

Can't find things

Need space planning

Need storage solutions

Want space to be more conducive to having people over

Relationships affected by organizational issues

Productivity impacted by organizational issues

Want to be able to focus on other priorities, but spaces are distracting me

Not sure where to begin

Don't enjoy organizing, but enjoy being organized

Mind doesn't work this way, but want to be organized

Space doesn't represent my personality.

Other

Other: Please specify(Required)

Is there anything else you want to tell us about what motivated you to contact Room Redefined?

What are your areas of concern? (Check all that apply.)(Required)

Kitchen

Family Room

Entryway

Mail/Papers

Toys/Playroom

Garage

Laundry

Linen Closet

Bathroom(s)

Bedroom (Master)

Bedroom (Child's)

Bedroom (Guest)

Dining Room

Living Room

Home Office

Closet (Clothes)

Closet (Storage)

Basement

Attic

Craft/Sewing/Hobby Room

Memorabilia

Digital Storage

Other

Other: Please specify(Required)

Your Relationship to Organization

Help us understand your relationship with your belongings.

Do you think your space has the problem of too much stuff or is the problem only that things are not organized?(Required)

Too much stuff

Not organized

Both

Other

When was the last time your space(s) felt organized?(Required)

Do any of these obstacles prevent you from letting go of things? (Check all that apply.)(Required)

Time to go through them

Time to take them away

Guilt

Sunk costs

Fear they might be needed someday

Sentimental attachment

Inability to decide

Pressure from others to hold onto things

Other

Other: Please specify(Required)

What "organizing style" best describes you? (Check all that apply.)(Required)

I'm a "stacker" and love to create piles

I'm a "stuffer" and love to hid things in nooks and crannies

I'm afraid to put things away because "out of sight/out of mind"

I consider myself a minimalist, but don't quite know how to accomplish it to the extent I want

I love to organize, but still am not satisfied

I hate to organize, but want to enjoy the benefits of being organized

I like to purchase organizing products, but they don't always work in my space

I can get myself organized, but have trouble maintaining the systems

I put systems into place, then have trouble getting the people who live with me to follow them, then end up doing it myself until I give up

I don't think I have a style

Other

Other: Please specify(Required)

How do you handle "to dos"? Explain.(Required)

How do you manage your time? (Do you use a planner, calendar app, etc.?)(Required)

In what ways does the function of your space impact you? (Check all that apply.)(Required)

Increased stress

Frustration

Inability to find things

Don't know how/where to put things

Lack of routine

Inefficiency

Easily distracted

Lack of sleep

Not enough space to do the things that are important to me

Guilt

Inability to enjoy preferred activities

Other

Other: Please specify(Required)

In what ways does the function of your space impact the lives of those you live with? (Check all that apply.)(Required)

N/A

Increased stress

Frustration

Inability to find things

Don't know how/where to put things away

Lack of routine

Inefficiency

They can't help effectively

Easily distracted

They are less productive than they should be

Lack of sleep

Not enough space to do the things that are important to them

Guilt

Inability to enjoy preferred activities

Other

Other: Please specify(Required)

How do those who live with you feel about working with a professional organizer?

Your Space

What do you love about it?

What do you love most about your home? What is working well?(Required)

Where do the people who live in your home spend most of their time? (Please respond for each person who lives with you.)(Required)

If you could pick three words to describe how you want your home to feel, what would they be?(Required)

What are your favorite colors?(Required)

Where do you like to shop for your home?(Required)

What is your version of luxury? What does "fabulous" mean to you?(Required)

What are each person's favorite activities to do in your home?(Required)

Is there anything else you want us to know about what makes your home special?

Expectations and Goal Completion

How will you know this has been successful? What is your version of finished?

What are your goals? (Check all that apply.)

We create "homes" for all possessions.

We create clutter free spaces.

My/our space has new purpose.

My/our possessions are downsized.

I/we can find what I need when I need it.

The people who live with me can help with keeping things organized.

I/we feel more calm and productive in my space.

I/we have increased self-confidence/self-image.

I feel in control of my stuff, rather than my stuff controlling me.

We form better habits.

There is smooth flow to each space.

The space better represents my/our personality.

I/we can focus on what I/we do best because my space supports me rather than distracts me.

I/my family have more free time.

I am/ my family are sleeping better.

I/my family feel less stressed.

I/my family seems more peaceful.

Other

Other: Please specify(Required)

Special Needs

What can we be particularly mindful of to help this work well for you?

Do you or the members of your household, have any medical or physical constraints that we need to consider when organizing your space? (Check any that apply.)(Required)

ADHD

Autism Spectrum

Highly Sensory

Anxiety

Depression

Loss of Memory

Medical Issues (please explain below)

Physical limitations (please explain below)

N/A

Other

Other: Please provide additional comments(Required)

Do you anticipate needing any of the following resources to begin/complete your project? (Check all that apply.)

Handyman

Estate Sales Manager

Junk Hauler

Moving Company

Electrician

Plumber

Painter

House Cleaner

POD/Storage Company

Involvement of family members/friends

Other

Other: Please specify(Required)

Has your space had problems with infestations? (Check all that apply.)(Required)

Please note: Should we encounter any evidence of infestations or other health hazards; organizers are required to stop working until the issue has been resolved.

Clothes moths

Mice

Lice

Mold/mildew

Rats

Ants

Bedbugs

None of the above

Other

Other: Please specify(Required)

Please explain where the infestation is located, how long it's been present, and any treatment solutions you've attempted.(Required)

Do you have hazardous substances/medical devices that we need to be mindful of prior to working in your spaces?(Required)

Yes

Please explain more about the hazardous/medical devices and substances(Required)

Are firearms stored on the premises?(Required)

Yes

If yes, please make sure these are properly secured with a locking device or in a locked place prior to your organizing sessions.

Timing and Budget

Do you have a time frame in mind for beginning the project?(Required)

What is your deadline or time frame in mind for completing specific phases of the project?(Required)

What are the best days/times to meet?(Required)

Do you have a budget in mind for the project?(Required)

How did you hear about Room Redefined?(Required)

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.