Hoard No More Workshop - Fall 2017 AMI-Quebec Question Title * 1. The purpose of this questionnaire is to determine whether the workshop is a good fit for your needs, and to aid planning for the workshop.The information given by you will be held in the strictest of confidence. You will need to be contacted by the workshop leader to confirm your registration, please enter your name and phone number: Question Title * 2. What is your main motivation for taking the hoarding workshop? What do you hope to gain? Question Title * 3. Have you ever sought help for your hoarding problem through self-help books, therapy, or a support group? How did that work out? Question Title * 4. To what degree do you experience emotional distress due to the state of your home? Minimal Mild Moderate Severe Question Title * 5. How much does your clutter or quantity of stuff get in the way of using the rooms in your home? Please explain. Question Title * 6. To what extent do you currently have a problem with bringing too much new stuff into your home (by collecting free things or buying things)? Minimal Mild Moderate Severe Question Title * 7. What is your biggest obstacle to discarding (or recycling, giving away, or selling) the excess items in your home? Not having enough time Feeling too stressed Feeling too tired Feeling too anxious Feeling overwhelmed Feeling it is futile Not knowing where to begin Difficulty making decisions Thinking it will be too difficult Not wanting to “give in” to people who have been pressuring you Other (please specify) Question Title * 8. When was the last time you worked on getting rid of excess items from your home? Within the last week Within the last month 1-3 months ago 3-6 months ago More than 6 months ago Question Title * 9. What types of items do you tend to accumulate? (check all that apply) paper items newspapers, magazines and/or books empty bags and/or containers food stuff picked up for free decorative items clothing jewelry soaps, lotions, and other toiletries craft supplies things to be fixed tools, hardware supplies things to give to other people Other (please specify) Question Title * 10. Have you ever had trouble with a landlord, health inspector, or fire inspector due to your hoarding problem? If yes, how long ago and what was the outcome? Done