Customer Intake Forms - Phoenix & Rose Feng Shui

Name *

Email *

Address *

City *

State *

Zip Code *

How did you find Phoenix & Rose Feng Shui? *

What is your Instagram Handle? If you don't have an Instagram account, please put N/A

What is your date of birth? Please put your actual year! *

What frustrates you the most about your home? What are the greatest pain points in your current living situation? *

What kind of home do you have? For example: 3 bed/2.5 bath townhome. *

What is the name of your significant other/ spouse/ partner?

What are the names and ages of your children?

What kind of pet do you have? What's his or her name? Ex: Buddy - Dog

Why do you want to work with Phoenix & Rose Feng Shui? *

Have you ever worked with a feng shui consultant in the past? *

Anything else you'd like to share with me before we speak? Feel free to leave comments below 🙂

I understand that feng shui is an investment in myself. The average cost of a transformation is between $5000 to $10000. *

Yes

I understand that feng shui is a time commitment. The average transformation has a 30 to 90 day turnaround.

Yes

I understand feng shui can only work if my home already has furniture, accessories, and home decor items. Nitu does not have staging furniture and will not be able to assist sellers with vacant homes. *

Yes

I understand that Nitu exclusively does in-person feng shui consultations in Manhattan and select parts of Brooklyn. She does not travel or do virtual consultations at this time. *

Yes

I understand that all decision makers of the household must agree to the feng shui process before a paid consultation is booked. Examples of decision makers include: husband & wife, partners, boyfriend & boyfriend, mom and dad, roommates, etc. Without the consent of both parties, Nitu cannot move forward with a paid consultation. *

Yes

I understand that feng shui has positive effects on every living creature in the home including, plants, pets, children, and adults! *

Yes

Client understands that feng shui is an energetic and physical cleanse of the home. *

Yes

Client has seen Feng Shui 101 video. *

Yes

Client understands that Nitu is not responsible for anything that breaks during the consult (sometimes things like a glass, picture frame, or garbage disposal will break/malfunction during or after the consult as a result of stuck energy releasing). *

Yes

Client understands that it is not recommended to consume alcohol 24 hours prior to session, during session, and 24 hours after session. *

Yes

Client understands it is recommended to get 8 hours of sleep and eat healthy foods during the process. *

Yes

Client understands feng shui can be physically and emotionally taxing on the body. *

Yes

Client understands that furniture placement is the most crucial part of the process. All furniture placement will be agreed upon in writing prior to start date. *

Yes

All conversations that occur during consultations are 100% confidential. *

Yes

Client understands this process requires 80% collaboration, including being present during the purging and organizing sessions. Purging is extremely necessary to see improvement in the home and must occur to complete the process. *

Yes

Client understands that all consultations are prepaid. *

Yes

Client agrees Nitu cannot throw away anything without client's consent. *

Yes

Client understands that Nitu practices intuitive feng shui and her process is based on the energetic interpretation of the client and the home. *

Yes

I understand that printing my name constitutes a legal signature confirming that I acknowledge the information provided in this document. *

Date *