| Yes No | 1. Does it often take you more than 10 minutes to unearth a particular letter, bill, report, or other paper from your desk or files? |
| Yes No | 2. Are there loose papers on your desk, other than reference materials, that you haven't looked at for a month or more? |
| Yes No | 3. Has your electricy, gas, or telephone, or any other utilities, ever been turned off because you forgot to pay the bill? |
| Yes No | 4. Within the last 2 months, have you overlooked a scheduled appointment, an anniversary, or some other date that you wanted to ackNo wledge? |
| Yes No | 5. Do magazines pile up unread? |
| Yes No | 6. Do you frequently put off a work assignment for so long that it becomes an emergency or a panic situation? |
| Yes No | 7. Do you frequently misplace your keys, glasses, gloves, handbag, brief-case, or commonly carried items? |
| Yes No | 8. Do belongings gather in corners of closets, or on the floor, because you can't decide where to put them? |
| Yes No | 9. Would your storage problems be solved if only you had more space? |
| Yes No | 10. Do you want to get organized but everything is in such a mess that you don't know where to start? |
| Yes No | 11. Do your children have household jobs that they carry out willingly? |
| Yes No | 12. By the end of the average day, have you accomplished at least the most important tasks you set for yourself? |
| Yes No | 13. Are the kitchen items you use most often in the most convenient place? |
| Yes No | 14. Is you living room arranged so that family and guests can speak comfortably without raising their voices, and are there convenient places for drinks and snacks? |
