Home Feng Shui Assessment Form
Evaluate your home's Feng Shui setup with this structured and minimal assessment form.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
How would you rate the overall harmony of your home?
*
1
2
3
4
5
Which best describes the primary energy flow in your home?
*
Smooth and balanced
Somewhat blocked in places
Chaotic or stagnant
Other
Please rate the following aspects of your home’s Feng Shui:
*
Rows
Poor
Fair
Good
Excellent
Entryway energy
1
2
3
4
Bedroom arrangement
5
6
7
8
Living room comfort
9
10
11
12
Natural light
13
14
15
16
Clutter management
17
18
19
20
Which element do you feel is most dominant in your home?
Wood
Fire
Earth
Metal
Water
Not sure
How frequently do you intentionally update your home’s Feng Shui?
Regularly (seasonally or more)
Occasionally (once a year)
Rarely
Never
What is your primary goal for improving your home’s Feng Shui?
Create a peaceful environment
Enhance prosperity and abundance
Support health and well-being
Improve relationships
Other
Any additional comments or observations about your home's Feng Shui?
Submit Assessment
Should be Empty: