QUESTIONNAIRE

RESIDENTIAL

COMMERCIAL

NEW OFFICE

_____________________________________________________

RESIDENTIAL PROPERTY

Name ____________________________

Address ___________________________

City_______________________ Zip Code_____________________

Phone Number(s) (cell)_____________(home)_____________(office)_______________

E-mail _________________________________

Occupation, Title ________________________________________

Date of Birth ___________________(hour of birth)____________

City of Birth _____________________ (EST, PST, CST, or other)

Sex: Male or Female (circle one)

Please list all residents of the home:
Name, Relationship, Birth date and Time
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________

What are your objectives for this consultation?



How do you feel inside your home?



What rooms do you like the best? Why?



What rooms do you like the least? Why?

 

How long have you lived in your home?


Since moving into this home, have you noticed any important changes in your life (positive or negative)?

 

What year and month (exact day if in January or February) was construction completed on the home?


Has there been any major renovation in at least one third of the dwelling? This can be room additions, major room remodel, roof or floor replacement, or new doors. If yes, what were they and list any changes in your life after the alterations.

 

If you know the history of the previous occupants, please list anything (positive or negative) that may have happened to them, especially if it is unusual.


What is your budget for this consultation?

 

_________________________________________________________________________

COMMERCIAL PROPERTY

Name ____________________________

Address ___________________________

City_______________________ Zip Code_____________________

Phone Number(s) (cell)__________(home)__________(office)_____________

E-mail ________________________

Occupation, Title _________________________

Company Name__________________________



What are your objectives for this consultation?




What is most successful about your business/organization?

 

What are the main challenges for your business/organization?

How long have you owned your business?


Has there been any significant changes in your business (positive or negative) since moving into your building or after Feb 2004?

 

What year and month (exact day if in January or February) was construction completed on the building?

 

Has there been any major renovation in at least one third of the dwelling? This can be room additions, major room remodel, roof or floor replacement, or new doors. If yes, what were they and list any changes in your business after alterations.

 

If you know the history of the previous occupants of the building, please list anything (positive or negative) that may have happened to them, especially if it is unusual.

 

Date of Birth _____________ (hour of birth)__________

City of Birth _______________ (check one: EST, PST, CST, or other)

Sex: Male or Female

Please list significant colleagues or business partner(s):
Name, Relationship, Gender Birth date and Time, City of Birth , Time Zone



What is your budget for this consultation?

 

________________________________________________________________________

NEW OFFICE

Name ____________________________

Address ___________________________

City_______________________ Zip Code_____________________

Phone Number(s) (cell)__________(home)__________(office)_____________

E-mail ________________________

Occupation, Title _________________________

Company Name____________________________

Feng Shui is used to create a harmonious space, improve your productivity and success, and target improvements in areas of your life that you feel are not supporting you.

How long have you been in your current office?

 

What important changes if any have noticed since working in your office?

 

What in your career/job makes you feel the most successful?

 

What are the biggest challenges for you in your career/job?

 

How happy are you in your job? Please explain.

 

What improvements do you want to make in your career/job?

 

What 3 adjectives would you use to describe the kind of office space that you want?

 

What is your clutter factor on a scale of 1-10 (1 being well organized, 10 being it's out of control)?

 

Date of Birth _____________ (hour of birth)__________

City of Birth _______________ ( check one: EST, PST, CST, or other)



Sex: Male or Female

 

NOTE: If you can provide a floor plan of the building and your floor this is exceptionally helpful.

 

What is your budget for this consultation?

 

 


 

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Email: whitelotusfengshui@comcast.net
Website: www.whitelotusfengshui.com

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