Client Intake Questionnaire

Moving Support

Welcome to Room Redefined: Move Support

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. Asking these questions helps us better understand your hopes and develop individualized supports and solutions.

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

Current Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

Preferred way to contact you(Required)

Phone Call

Text Message

Parking Instructions(Required)

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)

Does anyone in your home have physical or medical needs or other constraints that we need to take into consideration during this organization project?(Required)

Yes

If Yes, please explain(Required)

Do you have any pets?(Required)

Yes

If Yes, please note your types of pets and names(Required)

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

Yes

If your pets create constraints or have special needs, please explain

What kind of work do you do?(Required)

Do you work from home?(Required)

Full time

Part time

Rarely

Temporary

Not at all

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

Temporary

Not at all

Briefly describe your current 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)

Do you have a garage?(Required)

Yes

How many cars fit in your garage?(Required)

Do you park in your garage?(Required)

Yes

If you do not park in the garage, what is the reason?

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

Yes

If Yes, what size?(Required)

Do you have a date by when you need to have your home ready for showing?

Do you have a date by when you need to be out of your current home?

Yes

If you are comfortable providing your move out date, let us know here.

Do you have any additional information you would like to share about your move out date?

Have you already purchased a new home?(Required)

Yes

If Yes, when will you be able to move in?(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)

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)

Briefly describe your new home plus additional questions

Your new home's address (if known)

Street Address Address Line 2 City State ZIP Code

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 do you plan to stay in this home?(Required)

If you are not able to move into your new home directly upon leaving your current home, do you have plan for the interim?(Required)

Yes

N/A

If yes, please explain.(Required)

Will you be using a moving company to help with your move?(Required)

Yes

If yes, please share their name/contact information if you have it.

What services would you like from Room Redefined for your move out/move in? (check all that apply)(Required)

Decluttering, storing, removing of unwanted items prior to move, (so nothing is moved to new home that you don't work).

Staging home to de-personalize and best showcase spaces for buyers.

Packing

Hiring a moving company

Coordinating with / supervising moving company

Space planning for new home

Assistance in selecting furniture for new home

Unpacking

Organization of new home or select spaces in new home

Other (please provide details below)

Other(Required)

What is motivating you to move? What is not working well in your current space?(Required)

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

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

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

What are your favorite colors? What are your favorite colors of others who live with you?(Required)

Prior to prepping for your move, did your home feel organized?

Yes

Please explain(Required)

When you think about your "stuff" for your new home, do you think you have... (check all that apply)(Required)

Too much stuff to fit in the new space. I new to get rid of some things.

Not enough stuff. I do not have what I need to live comfortably in my space.

Just the right amount of stuff to fit comfortably and live the way I want it.

I want to get rid of some stuff AND get some new items to make the space feel just right.

Other (please specify)

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 "stacker" and love to hide things in nooks and crannies

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

I consider myself a minimalist and don't want to see/have a lot of stuff but don't know how to fully accomplish this

I love to organized, but still am not satisfied

I hate 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 (please specify)

Other (please specify)(Required)

Do you have a time frame in mind for beginning your work with Room Redefined?(Required)

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

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

Please share anything else you would like us to know about yourself and/or your project(Required)

How did you hear about Room Redefined?(Required)

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