CLIENT INTAKE FORM and CONTRACT

CLIENT DETAILS

Full name:

Age:

Phone:

Email:

Address:

Emergency Contact (name & phone):

Preferred way of contact:

Call

SMS

Email

PROJECT DETAILS

Project location:

Start date & preferred start time

Month

Day

Year

Time

HoursMinutes

Budget

Funding (self, NDIS, other)

Parking / access:

Any areas you don't want us to access?

Have you engaged decluttering / organising services in the past?

Yes

No

What worked?

What didn't work?

ADDITION INFORMATION REQUIRED:

Who lives at the property:

Do they give permission to declutter / organise their home? (we do not work on the belongings of any person not present or engaged in the process)

Yes

No

Any special requirements:

Any medical and/or mental health concerns:

Any support needs:

Any additional information we need to know, Eg: sensitivities / triggers (fragrances, smells, lights, noises, family dynamics etc):

ABOUT THE HOME:

How old is the home (approximately):

When did you move into the property:

Are there any risks associated with the age of the home (asbestos, lead paint etc):

Do you:

Own

Private rental

Housing dept

Other

WORK, HEALTH AND SAFETY:

If yes to any of the above, please provide details:

Please upload photos or video of the areas you'd like to work on:

Any additional information you'd like to add: