Name
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First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Home phone
*
(###)
###
####
Cell phone
*
(###)
###
####
Work phone
*
(###)
###
####
Preferred contact phone number:
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Home Phone
Cell Phone
Work Phone
Email
*
Preferred method of contact:
*
Phone call
Text message
Email
How did you learn about us?
*
Approximate house square footage:
*
Age of house:
*
Number of bedrooms:
*
Number of bathrooms:
*
How long have you lived in your home and how long do you plan on living there?
*
Please explain
Who lives in your home and what are their ages?
*
Please explain
Who are the decision makers?
*
Do you have pets? Are they allowed on the furniture?
*
Please explain
Are you more casual or formal?
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Do you entertain a lot? (Or would you like to?)
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Yes, I do
Yes, I would like to
No, I do not entertain frequently
What are some of your family's regular activities? Puzzles in the family room, arts & Crafts in the dining room etc. This helps us to see how you want to use your spaces.Text Area 4
*
Do you travel often?
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Yes
No
Do you collect on your travels? If so, what types of things do you bring back?
*
Please explain
What is the current style of your interiors?
*
What style would you like to see in your home after we redesign it?
*
What do you love about your home? What do you like least about your home?
*
Please explain
Do you have a favorite piece of furniture or artwork you absolutely love?
*
Please explain
Is there a public space that you love? (hotel, museum, TV or movie set etc.)
*
Please explain
What mood do you want to create overall? Click all that apply.
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Elegant
Formal
Sophisticated
Warm & cozy
Spacious
Casual & relaxed
Lively & bright
Cool
Romantic
Contemporary
Welcoming
Glamorous
Lived-in
Minimal
What are your color preferences? Click all that apply.
*
Whites
Oranges
Blues
Pastels
Blacks
Reds
Jewel tones
Grays
Navy blue
Neutrals
Beiges
Pinks
Light blue
Earth tones
Aquas
War colors
Lavendars
Purples
Teals
Greens
Ocean colors
Bright colors
Bold colors
Soft colors
Other
Are there any colors you are opposed to using?
*
Please explain
Where do you shop for home furnishings and accessories?
*
Do you purchase online? If so, from which online stores do you frequently purchase?
*
Do you have any pieces of art that you want to use in the design? What type of subject matter do you prefer?
*
Select all that appeal to you.
Landscape
Landscape abstract
Portrait
Abstract
Nature
Florals
Still life
Animals
Photography
Coastal
Architecture
Figurative
Cultural
Vintage
Typeography
Other: Please describe using the box below
What other types of subject matter interest you?
Please list the rooms you would like to work on.
*
What is your budget for this project?
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$5,000 - $10,000
$10,000 - $20,000
$20,000 - $30,000
Over $30,000
Have you worked with a designer before?
Yes
No
Is there anything else you would like to know from us?