New Client Questionnaire
Thank you for taking the time to answer these questions. The following will help Diane Durocher Interiors in assisting with your design needs.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
How do you prefer to be contacted?
Please Select
Email
Phone
No Preference
How did you learn about Diane Durocher Interiors?
Please Select
Friend or Relative
Web search engine
Magazine
Instagram
Other
If a magazine, which one(s)?
Other?
What is your budget?
Under $15,000
$15,000-$35,000
$35,000-$55,000
$55,000-$75,000
$75,000-$100,000
Over $100,000
I don't Know
1. What room(s) are to be designed and what are there dimensions?
*
Example: Living room is 22'x18'
2. Please provide the names and ages of your household members and any special needs they may have?
3. What is the intended use of this room?
*
4. Is there a must have priority for the room?
5. How many people do you wish to sit at all times?
6. Do you need new window treatments?
*
Yes
No
7. What are your window treatment requirements? (select all that apply)
Privacy
Light Control
Decorative
Blackout
8. Do you have any artwork you would like to display?
Family Portraits
Fine Art
9. Is additional lighting required?
*
Yes
No
If Yes, what type of lighting? (select all that apply)
Recessed
Ceiling Fixtures
Wall Sconces
Table Lamps (Floor Outlets)
All of the Above
10. Are there any existing furniture pieces you would like to keep?
*
Please Select
Yes
No
If yes, what are they and there dimensions?
*
Please upload the photos of existing furniture pieces.
*
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11. Do you have any pets?
Please Select
Yes
No
If yes, what animal(s) and how many?
12. What colors do you like?
*
13. What patterns do you like?
*
Solid
Paisley
Plaid
Stripe
Damask
Floral
Geometric
Animal
14. What design style(s) do you like?
Contemporary
Transitional
Traditional
Eclectic
Farmhouse
Bohemian
15. What is your entertaining style?
Formal
Casual/Informal
Both
16. Do you have any inspirational photos you wish to share?
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17. When would you like to start the project?
*
18. When do you want the project to be completed?
*
19. Anything else we should know?
Submit
Should be Empty: