REBA & CO QUESTIONNAIRE

Full name:
Address:
Phone:

Area CodePhone Number
Email:
example@example.com
How did you hear about us?
Start Date:

MonthDayYear
Date
Desired completion date:

MonthDayYear
Date
Rooms servicing:

Living RoomDining RoomLaundryBathroomMaster BedroomKids RoomStudyOther
Budget*
Nature of Project

Full renovationStyling / decorating
Pets

YesNo
Children:

YesNo
Entertain:

YesNo
What do you like about the current space:
What do you dislike about the current space:
What is your design style:

Mid century ModernTraditionalCoastalRetroFarmhouseModernBohemianShabby ChicContemporaryCountryeclecticHollywood GlamTransitionalIndustrialMinimalVintageOther
Is there a must have or priority for this space? An item you need/want to keep:
Will you be purchasing new furniture and accessories:

YesNoUnsure
Additional commentary or considerations
How do you like your coffee?
Thank you for taking the time to fill out our customer profile questionnaire.

Please email all room images and measurements to hello@rebaandco.com

Ensure that the room measurements take into consideration any fixed elements such as wardrobes, windows and doors.
Should be Empty: