Please complete this form. Click on Send button at the bottom when done.

Your name:

Your e-mail address:

Address:

City:    State:   Zip:

Home Phone:   Work Phone:

Best time to call:

How did you hear about us?:
  If other, where?

What’s bugging you the most?:

What would you like Organizational Specialists, L.L.C. to do for you?

What is your perception of the problem areas?

What tasks do you currently perform in these areas? What tasks would you like to perform there?

How do you see yourself involved in the process?

Which tasks would you like to delegate to someone else?

Is there anyone else in the household that will be affected by the reorganization?

How do you envision the final product of our service?

Are you interested in a one time project or ongoing assistance?

What type of supplies are you interested in us purchasing for you?

What do you do to relieve stress?

Why do you want to get organized?

Notes/Additional Comments:

 

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Thank You!