E-Design Intake Questionnaire For Full Design Plan

Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Family Members/Pets *
e.g Husband, daughter (5), sons (3&7)
How would you describe your/your family’s lifestyle?*
e.g Casual, Easygoing, Hectic
Project Size*

One RoomTwo RoomsThree RoomsFour Rooms or More
What space(s) would you like for us to design? (select all that apply)*

Living RoomKitchenDining RoomBedroomGuest RoomChildren’s BedroomBathroomDressing RoomHome OfficeOther
Describe your room in its current state*
How do you use the room?*
How many people will occupy the room at any given time?*
What do you like about the room now?*
What do you dislike about the room now? *
What are some of the challenges you face in the room? *
What type of wall treatment do you prefer?*

Plain painted wallsFeature wall with pattern wallpaperFeature wall with mural wallpaperLimewashWood panelling or slatsI let you come up with an ideaOther
What colours or tones would you like for your walls?*

Neutral tones (beige, white, grey)Warm earthy tones (terracotta, ochre, tan)Cool tones (blue, green, lavender)Dark and moody (navy, charcoal, black)Bold and vibrant coloursI let you come up with an ideaOther
What type of flooring do you prefer?*

Hardwood (light or medium tones)Hardwood (dark tones)Engineered woodLaminate flooringNatural stone (e.g., marble, travertine, slate)Tiles (ceramic or porcelain)CarpetOther
What type of window treatment do you prefer?*

Simple curtains (sheer or opaque)Layered curtains (sheer and blackout)Roman shadesRoller blindsWooden or bamboo blindsBare windows (no treatment)I let you come up with an ideaOther
What colour scheme would you like for your window treatments?*

Neutral tones (beige, white, grey)Complementary to wall colourContrasting colours for a bold lookEarthy tones (tan, terracotta, olive green)Darker tones (navy, charcoal, black)I let you come up with an ideaOther
Please list any existing furniture and furniture's link that you would like to incorporate into the design*
Which version of Japandi style best reflects your vision?*

Japandi MinimalistJapandi WabiSabiJapandi Modern
Please list any essential items you would like to incorporate into the design*
What is the overall general feeling you'd like this room to have? *
Is there currently a consistent thread of colour or theme that runs through your house? *
What colours would you most like to see?*

Brights - Red, Yellow, BlueNeutrals - Navy, Gray, Beige, TanSubtle - Cream, Taupe, Grey, BurgundyLights - Pastel, Pink, Pale Blue, Ivory, LavenderDaring - Red, Hot Pink, Black/WhiteOffbeat - Mustard, Chartreuse, Plum, MagentaContrasting - Black, White, Royal Blue, Red
Do you prefer solid fabrics and textures, patterns, or a mix of both? What patterns do you like best?*
e.g graphic, floral, stripe
Any colours and/or patterns you’re not a fan of?*
What is your preferred metal finish? (check all that apply)*

SilverBronzeGoldBrassChromeBrushed NickelMatte BlackOther
Do you need the space to be kid/pet friendly?*

Kid FriendlyPet FriendlyNone
What is the total budget for each room? (Keep in mind, your budget number should include the total cost of all furnishings, fixtures, and finishes that you would like us to recommend in your final package. This will help us to determine which suppliers to source from.*

€5k - €10k€10k - €20k€20k - €30k€30k - €40k€50k - €60k€60k - €70k€80k - €90k€100k or moreOther
Are you comfortable with the use of AI tools?*

YesNo
Are you comfortable with the use of AI tools for

Design visualisationProject management and documentation?Initial design descriptions?
How did you hear about Making A Green Life by Lily? *
e.g Instagram, Pinterest, Blog, Facebook
Do you give us permission to use photos of your room, the design and documentation of the process for social media outlets?*

YesNo
If you have any additional information you feel would be helpful, please let me know
All done! Just click the submit button below so we can get started.
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