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2011
April
N
New Client Questionnaire
New Client Questionnaire
LifelineDesign - New Client Questionnaire
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Please enter your name and address:
Please enter your contact number and email address:
What is your preferred method of contact?
Phone
Email
What is your marital status?
Married
De facto
Divorced
Separated
Single
Other
How many children do you have (living with you)?
0
1
2
3
4 or more
What are their genders and ages?
Describe your personality in 50 words or less:
What services are you interested in? (Tick all that apply)
Time management
Budgeting
Efficiency coaching
Planning & preparation for life changes
Adjusting & coping with life changes
Task/project management
Household decluttering &/or organising
Maternity concierge/baby planner services
Other - please specify
Have you ever used a Professional Organising service before?
Yes
No
Where did you hear about LifelineDesign?
Internet search
Flyer / Poster
Family / Friend
Other - please specify
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