Client Questionnaire

NAME *

STREET ADDRESS *

ADDRESS LINE 2

CITY *

STATE *

Zip Code *

Phone Number *

Email *

Primary contact

Add another?

Name *

Phone *

Title *

Email *

Add another?

Name *

Phone *

Title *

Email *

HOW DID YOU HEAR ABOUT US? *

REQUESTED START DATE * +

REQUESTED COMPLETION DATE * +

SERVICE REQUESTED * 🛈

PROJECT SIZE *

DO YOU RENT OR OWN THIS SPACE? *

Rent

Own

ROOMS SERVICING *

BUDGET *

Up to $1,500

$1,500 - $3500

$3500 - $7,500

Over $7,500

PROJECT TYPE *

Residential

Commercial

Hospitality

Multi Family

NATURE OF PROJECT *

Ceiling Height

Room Length

Room Width

Pets * 🛈

Children * 🛈

Entertain * 🛈

WHAT DO YOU LIKE ABOUT THE CURRENT SPACE? *

WHAT DO YOU DISLIKE ABOUT THE CURRENT SPACE? *

HOW WILL YOU BE USING THE SPACE? *

WHO WILL BE USING THE SPACE? *

WHAT IS YOUR DESIGN STYLE? (You may select multiple styles.) *

WHAT DO YOU LIKE ABOUT THE STYLE/ STYLES YOU SELECTED ABOVE? *

WILL YOU BE PURCHASING NEW FURNITURE? *

WHAT ITEMS DO YOU REQUIRE FOR THE SPACE? *

WHERE DO YOU SHOP FOR FURNITURE/ HOME DECOR? *

IS THERE A MUST HAVE OR A PRIORITY FOR THIS SPACE? *

IS THERE A COMMON COLOR PALETTE IN YOUT HOME? IF SO, WHAT? *

WHAT COLORS ARE YOU FIRST DRAWN TO? *

IS THERE A COLOR THAT SHOULD NOT BE USED? *

WHAT METAL FINISH ARE YOU DRAWN TO? *

WHAT FABRICS ARE YOU DRAWN TO? *

SOLIDS

PATTERNS

BOTH

WHAT TYPE *

FLORAL

GEOMETRIC

ANIMAL

STRIPES STRIPES

ADDITIONAL COMMENTS OR CONSIDERATIONS *

Friend/ Family	Thumbtack
Internet	Houzz
Facebook	Instagram
Other Other

Living Room	Dining Room	Kitchen	Pantry	Bathroom
Nursery	Kid's Bedroom	Primary Bedroom	Office	Other Other

Modern	Traditional	Contemporary	Industrial	Transitional
Rustic	Bohemian	Minimalist	Coastal	Shabby Chic
Retro	Eclectic	Hollywood Glam	Country	Farmhouse
Vintage