Language
English (US)
Getting To Know You!
Tell us about you & your needs and wants for this project.
PERSONAL INFORMATION
Tell me about you..
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contact
Billing Address (if different from above)
PROJECT INFORMATION
Tell us about the project.
Is this a whole home project or specific room/s?
Project Brief
Minimum Investment $:
Maximum Investment $:
Earliest start date
/
Month
/
Day
Year
Date
Target end date
/
Month
/
Day
Year
Date
Is use of a camera authorised?
Yes
No
Are you able to provide relevant documentation i.e. blueprints/ plans of the home?
Yes
No
PROPERTY INFORMATION
Tell us about the House.
Type of Home
Single Storey
Double Storey
Apartment
Condo
Duplex
What year was the home built?
Electrics
Please Select
Full Working Order
Maintenance Required
Do Not Know
Plumbing
Please Select
Full Working Order
Maintenance Required
Do Not Know
Heating
Please Select
Full Working Order
Maintenance Required
Do Not Know
Gas
Electric
Do Not Know
LIFESTYLE
Tell us more about you and your family.
Occupation
Self Employed
Employed
Student
Retired
Other
Tell us a little more about yourself?
Who lives at home?
Adults
Children
Adults (over 60)
Pets
Other (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
How does your home/ space make you feel?
Happy/ Positive
Relaxed/ Calm
Energised / Inspired
Stressed/ Negative
Disorganised
Rushed/ Tired
What do you do like to do?
Work
Travel
Hobbies
Cook
Nights In
Nights Out
Reading
Sports
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?
African
American
Beach/ Coastal
Art Deco
Art Nouveau
Caribbean/ Tropical
Contemporary
Cottage
Country
Electic
Edwardian
French
Greek
Loft/ Industrial
Minimalist
Moroccan
Period
Retro (50s - 70s)
Rustic
Scandinavian
Shabby Chic
Traditional
Victorian
Other
What Design Feels do you like?
Cosy
Dramatic
Airy
Cheerful
Functional
Expensive/ Luxurious/ Opulent
Formal
Glamorous
Chic
Feminine
Masculine
Pet friendly
Relaxing/ Laidback
Social
Child Friendly
Order/ Structured
Uncluttered
Sophisticated
Which Color schemes do you like?
Black
White
Neutral Tones
Warm/ Earthy Tones
Cool Colors
Pastels
Mutes/ Soft
Bold/ Primary
Which textures/ fabrics do you like?
Velvet
Cottons
Linens
Smooth
Rough
Plain
Patterned
Floral
Striped
Geometric
Retro
Check
Which textures do you like?
Soft
Wood
Hard
Brick
Smooth
Concrete
Glossy
Steel
Matt
Iron
Feathery
Which other features do you like?
Painted walls
Coving/ Cornices
Papered Walls
Windows - Modern
Wall designs - wood panelling
Windows - Sash
Dadorails
Shutters
Picture rails
Curtains
Wall molding
Blinds
Carpet
LVP
Hardwood
Tile
Fireplace
Pendant lighting
Chandeliers
Under floor heating
Ambient lighting
Task lighting
Island
Fitted/ Built in Furniture
Built in appliances
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 enter it in!
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