MY NEEDS INVENTORY

Personal Profile:

Name: _____________________________________________

Home Address (storage location): ________________________

City: ______________________ State: _____ Zip: __________

Daytime Phone: ___________________

Evening Phone: ___________________

E-mail Address: ___________________

Clothes Closet (fill out one form for each closet):

Long hanging garments: ____________ His ____________ Hers (in feet)

Short hanging garments: ____________ His ____________ Hers (in feet)

Space for folded items:   ____________ His ____________ Hers (in feet of shelf space stacked 10" high)

Pairs of shoes:             _____________ His ____________ Hers (number)

Belts:                          _____________ His ____________ Hers (number)

Ties or Scarves:           _____________ His ____________ Hers (number)

Need to store socks & underwear in closet?  No ___ Yes ___  In drawers ____ baskets____ 

Jewelry Drawer?  No ___  Yes ___   Any loose items for drawers or baskets? No ___ Yes ___

Need to collect laundry in closet?  No ___ Yes ___   Dry cleaning? No ___ Yes ___

Entry Closets:

Long Coats: __________   Medium Length Coats: _________  Short Jackets: _________  (in feet)

Hats: _________ Gloves/Mittens:________ Scarves: _________  In baskets, drawers or on shelves? ________

Shoes/Boots: ____________ (in feet)  Other items: _______________________________

Storage of taller items (vacuum, mops, brooms, ironing board, etc): _______________________

Other Closets or Storage Areas: