Please click on the circle above the statement that most closely fits your response to each statement. If a statement is not applicable to you, just skip it (do not make a choice for that one).  Go with your gut response and do not over-analyze. Go with your gut response and do not over-analyze. Once you click on the Submit button at the end, your responses will be tallied and your score will be emailed to you.

1. I pay my bills on time.

   Always	Usually	Sometimes	Not Usually	Never

   
   
2. I have a special place to put mail until I can open it.

   Always	Usually	Sometimes	Not Usually	Never

   
   
3. I throw away junk mail immediately.

   Always	Usually	Sometimes	Not Usually	Never

   
   
4. I manage paperwork well (medical, legal, financial records, etc.).

   Always	Usually	Sometimes	Not Usually	Never

   
   
5. I can find anything I need in my home within 5 minutes.

   Always	Usually	Sometimes	Not Usually	Never

   
   
6. I either fix or get rid of things that are not in good working condition.

   Always	Usually	Sometimes	Not Usually	Never

   
   
7. I enjoy my home environment and find it a relaxing and nurturing place to spend time..
   

   Always	Usually	Sometimes	Not Usually	Never

   
   
8. My home reflects my personality and preferences.

   Always	Usually	Sometimes	Not Usually	Never

   
   
9. When running errands (dry cleaner, grocery store, etc.), I plan my outings to maximize use of my time.

   Always	Usually	Sometimes	Not Usually	Never

   
   
10. I am satisfied with meal planning and preparation routines in my home.

    Always	Usually	Sometimes	Not Usually	Never

    
    
11. I manage telephone time well (incoming and outgoing calls).

    Always	Usually	Sometimes	Not Usually	Never

    
    
12. Once I recognize habits that work against me, I adjust how I do things.

    Always	Usually	Sometimes	Not Usually	Never

    
    
13. I do laundry on a regular basis, before I/my family runs out of needed clothing.

    Always	Usually	Sometimes	Not Usually	Never

    
    
14. I only subscribe to publications that I have time to read (newspaper, magazines, etc.).

    Always	Usually	Sometimes	Not Usually	Never

    
    
15. Everyone in my household knows where things belong and they put things away.

    Always	Usually	Sometimes	Not Usually	Never

    
    
16. I have a systematic method for purging unnecessary and outdated information.

    Always	Usually	Sometimes	Not Usually	Never

    
    
17. I have gone through my closets and drawers during the past year and have gotten rid of anything that does not fit or that I do not like or want. Others in my household have done the same.

    Always	Usually	Sometimes	Not Usually	Never

    
    
18. I donate or throw away anything that does not enhance my life on a regular basis.

    Always	Usually	Sometimes	Not Usually	Never

    
    
19. I have an effective system in place for storing items I need to keep but don't use regularly (old tax records, etc.).

    Always	Usually	Sometimes	Not Usually	Never

    
    
20. I have enough quality time with family and friends.

    Always	Usually	Sometimes	Not Usually	Never

    
    
21. I have an effective way of handling and reducing stress.

    Always	Usually	Sometimes	Not Usually	Never

    
    
22. Overall, I live a balanced life (physical, mental, spiritual, social needs are met).

    Always	Usually	Sometimes	Not Usually	Never

Are you interested in a free phone consultation if you qualify?

Yes	No thanks

(If you requested a free phone consultation...) If I do not feel that I am the best person to assist you, do I have your permission to forward your responses to a trusted colleague who may be better suited to meet your needs? (If you check NO, rest assured that I will honor your request and will not share your responses with anyone else.)

	YES, you have my permission to share this with a trusted colleague.
	NO, please do NOT share this with anyone else.

What keeps you awake at night? What would make you feel better about this?

If you could save one hour a day (x 365 days/year) by getting more organized and managing your time better, what would that enable you to do that you are not doing now?

What is one area of your life -- that if you focused on over the next three months -- would make a huge positive difference in the quality of your life? Describe some measurable outcomes you desire. Then imagine that you have already accomplished these outcomes and describe what this would do for you . Using the format below, identify your focus area.

EXAMPLE
Focus #1: Be more organized.