# Documentary Cohort Application — Form Questions **Build in:** Tally, Typeform, or GHL Forms (Tally is fastest) **Length goal:** 10 minutes to fill out, completely **Submit destination:** Klaviyo `applied` segment + email to Nichole --- ## Section 1 — The basics **1.** Your full name *(short text)* **2.** Email *(email)* **3.** Mobile *(phone — for SMS confirmations later, optional)* **4.** What town do you live in? *(short text — Nichole filters by service area)* **5.** Roughly how many bedrooms is your home? *(dropdown: 1–2 / 3 / 4 / 5+)* **6.** Who else lives there? *(short text — kids' ages, partner, parents, pets)* --- ## Section 2 — The home **7.** What rooms or spaces in your home are weighing on you most? Mark all that apply. *(checkboxes)* - Pantry / kitchen - Primary closet - Linen / hall closets - Kids' rooms - Home office / paperwork - Garage - Basement - Attic - Bathrooms - Entry / mudroom - Guest room (or "the room that holds everything") - Outdoor / shed - Other (specify) **8.** If only ONE room got fully reset and stayed that way for six months, which one would change your life the most? *(short text)* **9.** When you walk into your hardest room right now, what does your body do? *(long text — guided by the language of Journey 1: jaw, shoulders, breath)* **10.** On a scale of 1–10, how heavy does this feel right now? *(slider)* - 1 = "I've got this, I just need a hand" - 10 = "I don't even know where to start" --- ## Section 3 — The why **11.** What's the season of life you're in right now? *(checkboxes — multiple OK)* - Empty nesting / kids leaving - New baby or growing family - Loss or grief - Divorce or separation - Downsizing or moving soon - New job / big career shift - Caregiving for a parent - Just busy and exhausted - I'm honestly not sure - Other (specify) **12.** What in your home is keeping you from feeling rest? *(long text — this is the question I told you about in the email)* **13.** Who or what would benefit most if your home actually settled? *(short text — opens the door to family / partner / health framing)* --- ## Section 4 — Logistics & fit **14.** How did you hear about the Mid-Year Reset? *(checkboxes)* - Email from Nichole - Instagram - A friend - Meta ad - Other (specify) **15.** Have you worked with a professional organizer before? *(yes / no)* If yes — *(conditional follow-up)*: What worked? What didn't? **16.** This is a $7,997 investment, paid in full to start the program in the cohort. **Are you in a position to invest fully if accepted?** *(yes / no / not yet, but I want to be considered for re-open week)* **17.** This program runs for six months from your first session. **Are you available for one 90-minute follow-up visit per month for six months?** *(yes / no — flexibility is fine but commitment matters)* --- ## Section 5 — The documentary part **18.** As part of this cohort, I'd love permission to: *(checkboxes — pick all you're comfortable with)* - Record a written interview with you about your home and life - Photograph your before-and-afters - Record short video clips of you and me working together (face optional) - Capture a 5-minute video testimonial at the end of the six months - Use any of the above in marketing, with your final approval each time > *You can apply with NONE of these checked. The work matters more than the camera. We can find a quieter way.* **19.** Anything else you'd like me to know before I read this? *(long text)* --- ## After submit **Thank-you screen:** > Thank you. Truly. > > I read every application personally over the weekend. You'll hear from me by Sunday evening, whether it's a yes, a not-yet, or a let's-talk. > > In the meantime, I'd love for you to spend ten minutes with the workbook Kate Fish, LMFT, and I made together. It's the closest thing to having me in your home — and the work in it lines up exactly with what we'd do in our first session. > > 👉 [Letting Go with Love — $9](https://letting-go.pages.dev) > > See you soon, > Nichole --- ## Klaviyo automation triggered by submit - Add applicant to `applied-mid-year-reset-2026` segment - Send a confirmation email immediately (auto) - Tag with their season-of-life answers (Question 11) for future segmentation - Notify Nichole at her personal email