I'm wondering if you have the option of hiring an admin assistant to help keep your schedule and handle the smaller, less important projects? I'm infering from your post that you work for yourself? I'm an admin and I can tell you that two whole categories of projects from your OP are handled by me in our small office.
A good admin would take a lot of the stress away by helping with organization, being a buffer between you and clients so you are able to spend your time more wisely, handling those important tasks that usually get lost in the shuffle and completely taking over the more mundane daily items that suck your valuable time away. If you get a good admin, you can completely delegate the 80% of less crucial projects right off the bat, and your organization for those important 20% of projects will be much more efficient.
Just a thought.
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