A Professional Organising and Decluttering Service in Geelong, Victoria

    Date of Referral:

    Client's Details

    She/HerHe/HimThey/ThemPrefer not to say

    Referrer Details

    Is funding received through any of the following?

    NDISHome Care PackageDVA (Dept of Veteran Affairs)DFFS (Dept of Family, Fairness and Housing)Other

    If NDIS Participant:

    Plan ManagedSelf-Managed

    How did you find us?

    Friend/relativeGoogle SearchMy WebsiteSocial MediaHoarding Home SolutionsColleagueOther

    Reasons for referral:

    Professional OrganisingResidential CleaningBoth

    If Professional Organising required - Areas of Concern:

    Clutter and disorganisationHoarding tendenciesPaperworkSafety HazardsRelocatingStorage and functionalityRoutines and systemsOther

    If Cleaning required - Areas of Concern:

    KitchenBathroom/sToilet/sVacuuming and mopping floorsDustingLaundryOther

    Frequency of Cleaning:


    Health condition/disability:

    DepressionAnxietyOCDADD/ADHDAutismABI (Acquired Brain Injury)Physical DisabilityOther

    Additional Notes: