Office Consultation Questionnaire

Name

First

Last

Birthday

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email

Phone (Cell)

Phone (Office)

Names and full birthdays of key staff:

Office Address (If different from mailing address)

Address Line 1

Address Line 2

City

State

Zip Code

Building – year it was built (if known)

Direction front of building faces (if known)

What would you like to get out of a feng Shui consultation?

What are your goals for the business?

Where do you see your business 5 years from now?

Where do you feel challenged in your business?

What is working well in your business?

How are staff relationships?

How is income?

Which of the above areas are most important to address right now? If it is something else, please mention it here:

Personally, what do you consider your strengths?

Where do you feel you get "stuck" in business?

What, in your life, have you been putting up with (either unwilling or unable to change) ?

What, in your office space, have you been putting up with (either unwilling or unable to change) ?

How long do you see yourself staying in your current office?

Do you forsee any major career or life changes in the near future?

Is there anything else you would like to share? (All information is kept confidential)

My commitment to you:

I am committed to helping you achieve your goals by providing the best Feng Shui analysis possible. I will do my best to listen to you and your needs and provide specific recommendations that will produce powerful results.

Your analysis will include an advanced Feng Shui reading of your office, analysis of the layout, and detailed recommendations for optimal health, abundant wealth, and harmonious relationships.

While my goal is to help you get the most out of your consultation, I cannot promise specific results nor be held responsible for what happens within a space or to its occupants after my recommendations have been implemented.

By returning this questionnaire along with payment, you confirm that you have read and agree to the terms of our working relationship. Thank you for choosing to work with me, and I look forward to getting started!

Items requested prior to your Feng Shui Office Analysis:

1. Completed questionnaire
2. Full payment
3. Floor plan of the office
4. Photos of office interior and exterior

Include:
– Wide shots of each office area. Stand as far back as possible
– A picture from the front door looking into office, and from front door looking out
– A wide shot of the front of the building, showing entrance

Click or drag files to this area to upload.

You can upload up to 20 files.

My commitment to you:

Items requested prior to your Feng Shui Office Analysis:

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