E-Design Intake Questionnaire For Mini 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 RoomDining RoomBedroomGuest RoomChildren’s BedroomDressing RoomHome OfficeBathroomKitchenOther
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? *
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 Wabi-SabiJapandi Modern
Please list 5 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?*

Bright - Red, Yellow, BlueNeutral - Navy, Grey, Beige, TanSubtle - Cream, Taupe, Grey, BurgundyLight - Pastels, Pinks, 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?*
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€40k - €50k€50k - €60k€60k - €70k€70k - €80k€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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