BC Interiors Client Questionnaire

PERSONAL INFORMATION

Tell me about you..
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
PROJECT INFORMATION

Tell us about the project.
Is this a whole home project or specific room/s?*
Project Brief*
Investment bracket for project*
Earliest start date*

MonthDayYear
Date
Target end date*

MonthDayYear
Date
Is use of a camera authorised?*

YesNo
Are you able to provide relevant documentation i.e. blueprints/ plans of the home?*

YesNo
LIFESTYLE

Tell us more about you and your family.
Occupation*

Self EmployedEmployedStudentRetiredOther
Who lives at home?*

AdultsChildrenAdults (over 60)PetsOther (non-family member)
If children, please provide age/s & gender/s of children - if pertinent to design?
This helps us to know who to cater for in the design/s
If pets, please what type and how many - if pertinent to design needs?
This helps us to know what needs you may have in the design/s
Are there any special requirements to consider e.g. allergies, disabilities, etc?
How does your home/ space make you feel?*

Happy/ PositiveRelaxed/ CalmEnergised / InspiredStressed/ NegativeDisorganisedRushed/ Tired
What do you do like to do?*

WorkTravelHobbiesCookNights InNights OutReadingSports
What is the room most used in the house?*
DESIGN STYLE

Tell us more about your style and what you like
Which Design Styles do you like?*

AfricanAmericanBeach/ CoastalArt DecoArt NouveauCaribbean/ TropicalContemporaryCottageCountryElecticEdwardianFrenchGreek/ MediterraneanLoft/ IndustrialMinimalistMoroccanPeriodRetro (50s - 70s)RusticScandinavianShabby ChicTraditionalVictorianOther
What Design Feels do you like?*

CosyDramaticAiryCheerfulFunctionalExpensive/ Luxurious/ OpulentFormalGlamorousChicFeminineMasculinePet friendlyRelaxing/ LaidbackSocialChild FriendlyOrder/ StructuredUnclutteredSophisticated
Which Color schemes do you like?*

BlackWhiteNeutral TonesWarm/ Earthy TonesCool ColorsPastelsMutes/ SoftBold/ PrimaryGem/ Jewel TonesOther
NOTES
What else do you want BC Interiors to know?
What are your needs whilst work is being carried out in your home?
Have you ever used an Interior Designer? If yes, what for.. and was it a good experience?*
How did you find the experience?*
How did you hear of Balisier Concepts (BC) Interiors?*
What made you decide to choose Balisier Concepts (BC) Interiors?*
Thank you for completing this!

This information is valuable to us and we appreciate you taking the time to complete!
Should be Empty:

PERSONAL INFORMATION

PROJECT INFORMATION

LIFESTYLE

DESIGN STYLE

NOTES

Thank you for completing this!