Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Age

Under 50

50 - 59

60 - 69

70 - 79

80+

How did you find out about ClutterClarity?

Internet

Facebook

Instagram

YouTube

Friend

What are you trying to accomplish? (check all that apply) *

Declutter and organize my home

Downsize and move

Make room for someone to move in

Help parent/relative take care of his/her home

Stage or clear house to sell

Manage inherited stuff

Empty storage unit(s)

Simplify my life

Other

How are you feeling about your project? (check all that apply) *

I'm OK, but don't have enough help

I know what to do, but can't seem to start or keep going

I'm frustrated with lack of time or procrastinate

I'm afraid of making a mistake and getting stuck

I'm overwhelmed just thinking about the project

I want to run away