Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
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E-mail
*
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Is the project address the same as your current address?
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Yes
No
Project Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is there a gate code or any special access requirements?
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Who lives in the home with you? Any children + ages? Any pets + Type/color/shedding and/or clawing concerns?
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Will other family members be involved in the design process involving their own rooms or other parts of your home? It is requested that significant others or relatives having impact on the design (whether financial or style related) be involved in the entire process.
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Are there any physical/medical situations we need to be aware of (wheelchairs, back problems, allergies)?
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How long have you lived in your home? Is it new construction or preowned?
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Do you intend to stay in your home for many years, or is it possible you may move in less than 5 years?
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Do you entertain? If so, how often do you entertain and for how many guests? When you entertain, is it for family gatherings, business, or social entertaining? Do you have any specific seating needs?
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Have you worked with an Interior Design previously?
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Yes
No
How was your experience working with a designer?
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What rooms are you interested in using interior design services?
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What is the greatest challenge you feel we will have in designing the room(s) you have selected (use by young children, odd room configuration, limited space / light, multiple purpose use, etc.)?
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What do you wish was different?
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Do you have any items you wish to keep in the room(s)? Please list all items you plan to keep.
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What is your goal in designing the room(s) you have selected?
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Have you already worked on this project? *
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Yes
No
Please discuss what progress you've made, and where you're looking for additional help.
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Do you have specific pieces in mind for use in the room(s) to be designed?
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Yes
No
Let us know what pieces you have in mind to use. Please be as specific as possible.
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Do you have a time frame for this project, or any deadlines we need to be aware of?
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On a scale of 1-5 how easy is it for your to make decisions?
Please Select
1 - Super Easy
2 - Somewhat Easy
3 - Sometimes Easy/Sometimes Hard
4 - Somewhat Hard
5 - Analysis Paralysis
Let's get at ease talking about money. Do you have a specific budget in mind for this project?
To help us get a sense of where you are coming from, what do you feel comfortable spending on the following?
Rugs: If you were buying an 8x10 rug for your room you would probably spend:
Under $1,500, my child is going to spill on it anyway
$1,500-$3,500, I want something that will look good
$3,500-$6,500, I want something that will last
Over $6,500, a rug is a piece of art for your floor
Sofas: If you were buying a sofa for your room, you think it would cost:
$4,000-$6,000, I'll probably want to change it in 5 years anyway
$6,000-$8,000, I've bought a better sofa in the past and I think it is worth it
$8,000 and up, I want something quality which I can recover and keep for decades
Art - It is time to decorate your walls, the art we will be hanging would, in your mind, cost:
$500-$1,500, Something that looks good, I won't get tired of and fills the space
$1,500-$3,000, A piece that is unique, something you won't see everywhere
$3,000 and up, I'd like an original or custom piece which may appreciate in value
Any other thoughts you would like to share on cost of specific items or overall budget? Arethere specific amounts you would not spend above on various items, or are there areas youthink are important to splurge on?
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What stores are your favorite to shop in? *
What tones are you most comfortable living with? (Choose as many as you like.) *
Neutrals
Warm Tones (golds, browns, reds)
Cool Tones (blues, greens)
Pale Colors
Bold, Deep Colors
Whites
What colors are you most comfortable living with? (Choose as many as you like.) *
White
Black
Gray
Beige
Tan
Chocolate Brown
Pale Yellow
Yellow
Peach
Coral
Red-Orange
Red
Burgundy
Pastel Pink
Fuchsia
Eggplant
Lavender
Purple
Teal
Blue
Navy Blue
Powder Blue
Aqua
Mint Green
Olive Green
Forest Green
Kelly Green
Pastels
Colors you dislike...
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Fabrics you prefer (e.g. leather, velvet, linen, cotton...)
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Fabrics you dislike...
Patterns you prefer... Please be specific, for example, stripes, plaids, chevrons, florals tweeds, chinoiserie (Chinese motifs), ikat, southwestern, animal, etc.
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Patterns you dislike...
What styles do you like? (Modern, Traditional, Organic, etc.)
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Bedding... what are your preferences? Do you prefer a layered look or something more minimal?
If not applicable for the rooms to be designed, leave blank
If someone were to describe your home, what words would you like them to use?
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How do you feel about art for your walls? Please let us know how you feel about different imagery such as: Abstract, Animals (birds, deer, horses), Landscapes, Figures, Floral, etc.
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Please let us know how you feel about different imagery such as: Abstract, Animals (birds, deer, horses), Landscapes, Figures, Floral, etc.
How do you feel about art for your walls? Please let us know how you feel about different imagery such as: Abstract, Animals (birds, deer, horses), Landscapes, Figures, Floral, etc.
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If applicable, please let us know about various architectural or technology elements which may impact the design.
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For example, does your room have any floor plugs, do you need window coverings or a ceiling fan, do you have media or computer components which need to remain exposed?
Are there any more comments or ideas that you wish to share (especially regarding lighting, TVs, window treatments)?
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For example, does your room have any floor plugs, do you need window coverings or a ceiling fan, do you have media or computer components which need to remain exposed?
Please attach photos of whole rooms you love AND photos of your current home where you're interested in design services.
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