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This form is for consultation requests only. If you or someone you know is experiencing a medical or safety emergency, call 911 or the appropriate emergency service immediately.

Household Living Services™

Request a Household Living Consultation

Tell us about your household needs and we will reach out to schedule a personal conversation. No obligation and no pressure.

Please complete the form below. Fields marked with an asterisk (*) are required. Your information is kept strictly confidential and is used only to respond to your inquiry.

About the Client

Client first name *

Client last name *

Your first name *

Your last name *

Your relationship to the client *

Contact Information

Phone number *

Email address *

Preferred contact method

Service address (city, borough, or zip code) *

Household Support Requested

Type of household support requested (select all that apply)

Light household organizationLaundry and clothing organizationKitchen and pantry organizationMail, calendar and routine supportLight tidying and declutteringTechnology and daily-life support

Estimated frequency of support needed

Scheduling Preferences

Preferred days (select all that apply)

MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Preferred times (select all that apply)

Morning (8am – 12pm)Afternoon (12pm – 5pm)Evening (5pm – 8pm)

About the Household

Areas of the home needing support

Accessibility or mobility considerations

Pets in the home

Smoking in the home

Authorized Contacts

Authorized family contacts (name and relationship)

Preferred language for communication

Additional information or questions

Consent & Privacy

I consent to being contacted by Household Living Services™ regarding my consultation request. *I have read and agree to the Privacy Policy. *

Your information is used solely to respond to your inquiry. We do not sell or share your personal information with third parties. By submitting this form you agree to our Privacy Policy.

Concrete Blessings

A purpose-driven commercial service company built around professionalism, compassion, hospitality, dignity, organization, and human connection.

Hours

Monday – Friday: Consultations and services available by appointment.

Saturday – Sunday: Limited availability by appointment.

Contact

(602) 551-3434 [email protected]

Bronx, New York

Send us a message →

Community Impact

Concrete Blessings Foundation →

Separate community-impact organization