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ICD Case Study Submission Form
Information About You
1.
What is your first and last name?
2.
What is your email address?
3.
What is your phone number?
4.
In what country do you live?
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Island
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People’s Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia (Federated States of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
State of Palestine
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
The former Yugoslav Republic of Macedonia
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United Republic of Tanzania
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Vietnam
Yemen
Zambia
Zimbabwe
5.
Are you a certified organizing professional? Please choose the certifications you have obtained from the list below.
CPO-CD
CPO
Not certified
If your certification is not listed above, please list it here.
6.
How long have you been an organizing professional?
Information About Your Client
7.
What is your client's gender identity?
Female
Male
Non-Binary
Unsure
8.
How long have you worked with this client? Your answer can be in days, weeks, months or years. An estimate is fine.
9.
How many sessions have you completed with this client? Please indicate the length of time your sessions last. Your answer can be an estimate.
10.
Tell us more about your client's home. Check all that apply.
Single Family Home
Apartment
Town House/Condo
Dual Family Home/Duplex
Senior Community
Care Facility
Rural Area
Urban Area
Suburban Area
They rent the home
They own the home
Other (please specify)
11.
What level is the home on the Clutter/Hoarding Scale®?
1
2
3
4
5
12.
What diagnosed mental health conditions has the client disclosed to you? Check all that apply.
ADHD
ASD (Autism Spectrum Disorder)
Depression
Anxiety
Addiction
OCD (Obsessive Compulsive Disorder)
PTSD (Post Traumatic Stress Disorder)
Hoarding Disorder
Other (please specify)
13.
What mental health conditions do you expect your client has that they did not disclose? Choose any that apply.
ADHD
ASD (Autism Spectrum Disorder)
Depression
Anxiety
Addiction
OCD (Obsessive Compulsive Disorder)
PTSD (Post Traumatic Stress Disorder)
Hoarding Disorder
Other (please specify)
14.
Provide a summary of the home or space you worked/are working in. (1-3 short paragraphs)
15.
Who lives in the home with your client? Please indicate whether your client lives alone, has a spouse or significant other, has children under 18, adult children, other family members living in the home, or has roommates. Include relationship dynamics with each if you are aware.
16.
Provide a summary of the client, their insight, their goals, and why they reached out for help. How did the client describe their situation, and what did they find helpful or difficult? Then share your perspective. What did you observe? (1-3 Short paragraphs)
17.
What made you decide to work with this client?
18.
List two to three challenges you faced when working with this client.
19.
List two to three successful results or outcomes from working with this client.
20.
How would you rate the experience with this client?
Not Great
OK
Great!
21.
Did you and the client meet the desired goal?
Yes
No
Somewhat
Still working on it
22.
Choose the option below that is best for you.
I am submitting this case study because I have a client challenge, and I am seeking help from the Research Advisory Council. I am willing to share my case study with other ICD subscribers in the class series called "The Case for Case Studies." NOTE: If you choose this answer, please be sure your name and email have been included in this submission.
I am submitting this case study because I felt the case would be a good addition to the case study database, and I wanted to share what I learned. I do not want to participate in "The Case for Case Studies" class series.
I have questions about how my case study will be used. I'd love to talk with someone about it.
23.
If you chose the first option above, please share your client challenge in one or two sentences.
24.
If you chose to participate in a class do you have photos or videos you are willing to share? If yes, we may reach out to you about using them for a class. Choose all options that apply.
Yes, I have photos I am willing to and allowed to share.
Yes, I have videos I am willing to and allowed to share.
No photos available.
No videos available.
Send me a copy of my responses via email