The document provides a 5-level scale for assessing the degree of clutter and hoarding in a household environment. Level I represents the lowest and Level V the highest degree. Level III is identified as the pivot point between a cluttered versus hoarding environment. Each increasing level provides descriptions of worsening conditions regarding structure/zoning, animals/pests, household functions, health/safety, and recommended personal protective equipment. Level V environments pose the most severe risks where a coordinated team is necessary for any intervention due to dangerous conditions.