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    Full Name *

    Date *


    Project Address *

    Address 2

    City *

    State *

    Zip/Postal Code *


    Current Address (If different from above)

    Address 2



    Zip/Postal Code


    Contact Info

    Client #1 Full Name *

    Email Address *

    Home Phone

    Cell Phone *


    Client #2 Full Name

    Email Address

    Cell Phone


    How Do You Prefer To Be Contacted? *


    About Your Project

    Why Are You Looking To Redesign Your Space Now? *


    Project Type? (Please check all that apply) *
    Kitchen RemodelNew Home ConstructionBath RemodelRanch HouseEntire Home RemodelLake HouseFurnishings Design & DecorationOfficeOther

    If Other Please Specify:


    Which Areas Are You Going To Be Working On? (Please check all that apply) *
    KitchenFamily/Great RoomUtility/LaundryOffice/StudyMaster BathMaster BedroomBath 1Bedroom 1Bath 2Bedroom 2Powder BathEntire HomeOther

    If Other Please Specify:


    What Is Your Anticipated Project Investment? *

    If Other Please Specify:


    Which Design Elements Are You Considering For Your Project? (Please check all that apply) *
    AppliancesMarble/StoneBeddingPaintCountertopsPlumbingFlooringSpace PlanningFurnitureTileWallcoveringLightingWindow TreatmentsAll the Above


    Have You Ever Hired An Interior Designer Before? If Yes, Were You Pleased With The Results And Experience?: *

    Who Should We Thank For Your Referral?


    Which Best Describes Your Ideal Timeframe? *
    Meet in 6-8 weeksMeet in 2-4 months


    How Would You Describe Your Decisiveness And Design Philosophy? *
    I have a clear sense of my design direction.I'm quick to make decisions after seeing a few options.I look forward to seeing ideas I would never have imagined.I have no clue what my style is.I prefer to see many options and choices before making a decision.I am slow to make a decision.I'm depending on you, the designer, to guide my choices.


    How Would You Describe The Design Style You're Looking To Achieve? *
    TraditionalModernTransitionalUpdated with clean linesComfortable and relaxed


    Which Areas Do You Enjoy In Your Current Home? *

    Which Areas Would You Like To Improve? *


    Which Of These Factors Do You Consider Most Important When Hiring An Interior Design Firm? (Please check all that apply) *
    Experience designing a project like yoursKnowledge of resources and design elementsReferral sourceAttention to detailSpeed of completionRespectful of your opinionsCostTime savingProject management skillsYour Relationship with us and our teamResources for reliable ContractorsProducts and design solutions that are exclusive to your projectFinished result


    Design Considerations

    Number Of Household Members? *

    Are There Any Disabled Or Elderly People Living In The Home? If Yes, Please Explain Any Special Requirements: *

    Household Pets And Special Needs? *


    Entertaining Style: (Please check all that apply) *
    Small gatheringsLarge gatheringsI (we) love to cook!Catered please


    Do You Have Any Hobbies Or Interests We Should Consider When Designing Your Spaces? *




    Thank you for taking time to provide information regarding your project!

    If you have any questions, or would like to speak with someone from our office, please feel free to give us a call at 210-824-1535.