Interior Design Client Form
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
What space are you needing to be redesigned?
*
Please Select
Living room
Kitchen
Bathroom (s)
Bedroom (s)
Dining room
Please Specify Number of Spaces
*
What is your favorite color & what colors would you like to see in your space?
*
What (if any) design styles or artwork do you like?
What (if any) are your non-negotiables for the space?
What is your budget for materials in the space?
*
$500-$1,000
$1,000-$5,000
$5,000-$10,000
$10,000-$15,000
$15,000-$25,000
Other
What is your budget for design cost?
*
$150-$600
$1,000-$5,000
$5,000-$10,000
Other (will directly message my response)
How do you want your space to feel?
*
Open to entertaining guests
Organized & clutter free
Warm & cozy
Intimate & very personalized
Organic & minimalist
Other
Do we need to consider pets and/or children for practicality?
*
No
Yes, I’ve got pets
Yes, I’ve got kids/will have kids in future
Submit
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