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Client Intake Form
Organizing Client Intake Form
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* Indicates required question
Name (first and last name)
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
What space(s) are you looking for help with?
*
Your answer
Ideal date for project?
*
Your answer
Where did you hear about D-clutter, ATX?
*
Your answer
Client participation: Are you hoping to work side by side with an organizer, do a combination of side by side work and follow up homework assignments, or have the organizer work on the project independently?
*
Work side by side with an organizer
Organizer works on the project independently
Combination of working side by side and following up
I have no idea!
Would you like to set up your FREE
*Consultation* with D-Clutter, ATX?
*
Yes
No
Maybe later, I want more info
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