About
Portfolio
Process
Inquire
Questionnaires
Journal
Client Login
Select Page
FURNISHINGS QUESTIONNAIRE
DATE SUBMITTED
(Required)
MM slash DD slash YYYY
DECISION MAKER # 1 FIRST NAME
(Required)
DECISION MAKER # 1 LAST NAME
(Required)
DECISION MAKER # 1 EMAIL
(Required)
DECISION MAKER # 1 PHONE
(Required)
DECISION MAKER # 1 BIRTHDAY
(Required)
MM slash DD slash YYYY
DECISION MAKER # 2 FIRST NAME
(Required)
DECISION MAKER # 2 LAST NAME
(Required)
DECISION MAKER # 2 EMAIL
(Required)
DECISION MAKER # 2 PHONE
(Required)
DECISION MAKER # 2 BIRTHDAY
(Required)
MM slash DD slash YYYY
ADDRESS
(Required)
Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
ANNIVERSARY (IF APPLICABLE)
WHAT’S THE BEST WAY TO COMMUNICATE WITH YOU? CLICK ALL THAT APPLY
(Required)
Phone call
Text
Email
HOW DID YOU HEAR ABOUT US?
(Required)
BNI
CONTRACTOR OR ARCHITECT
FACEBOOK
FRIEND
GOOGLE
HOUZZ
INSTAGRAM
MAGAZINE
PINTEREST
PREVIOUS CLIENT
YOUTUBE
OTHER
I AM A…
(Required)
HOMEOWNER
DESIGNER
CONTRACTOR
INVESTOR
PROJECT TYPE
(Required)
RESIDENTIAL
COMMERCIAL
HOSPITALITY
MULTI-FAMILY
HOW MANY PEOPLE LIVE IN YOUR HOME (OR IF A BUSINESS - ARE IN YOUR BUSINESS)? WHAT ARE THEIR AGES?
(Required)
DO YOU OR ANYONE IN YOUR FAMILY (OR BUSINESS) HAVE ANY SPECIAL NEEDS?
(Required)
DO YOU HAVE PETS? WHAT TYPES?
(Required)
DO YOU ENTERTAIN OFTEN? HOW MANY PEOPLE USUALLY?
(Required)
HOW WOULD YOU DESCRIBE YOUR DESIGN STYLE? CHECK ALL THAT ARE APPLICABLE
(Required)
MID-CENTURY MODERN
TRADITIONAL
COASTAL
RUSTIC
RETRO
MODERN
FARMHOUSE
BOHEMIAN
SHABBY CHIC
CONTEMPORARY
COUNTRY
ECLECTIC
HOLLYWOOD GLAM
TRANSITIONAL
INDUSTRIAL
MINIMAL
VINTAGE
SOUTHWESTERN
OTHER
Other
HOW WOULD DESCRIBE YOUR DECISIVENESS AND DESIGN PHILOSOPHY? (PLEASE CHECK ALL THAT APPLY)
(Required)
I HAVE A CLEAR SENSE OF MY DESIGN DIRECTION
I AM QUICK TO MAKE DECISIONS AFTER SEEING A FEW OPTIONS
I LOOK FORWARD TO SEEING NEW IDEAS I WOULD NEVER HAVE IMAGINED
I AM UNSURE AS TO WHAT MY STYLE IS
I PREFER TO SEE MANY OPTIONS AND CHOICES BEFORE MAKING A DECISION
I AM SLOW TO MAKE A DECISION
I AM DEPENDING ON YOU, THE DESIGNER, TO GUIDE MY CHOICES
PLEASE ATTACH ANY EXISTING PHOTOS AND/OR FLOOR PLANS
Accepted file types: pdf, doc, docx, jpg, png, jpeg, Max. file size: 100 MB.
WHAT IS YOUR PINTEREST OR HOUZZ NAME?
(Required)
WHERE IS YOUR FAVORITE PLACE TO TRAVEL?
(Required)
WHAT ARE SOME OF YOUR HOBBIES?
(Required)
*RANK THESE IN ORDER OF IMPORTANCE: STYLE / QUALITY / AFFORDABILITY
(Required)
WHAT IS YOUR ANTICIPATED BUDGET? EXCLUDING DESIGN FEES:
(Required)
$10,000-$25,000
$25,000-$50,000
$50,000-$75,000
$75,000-$100,000
$100,000-$150,000
$150,000-$200,000
$200,000-$250,000
$250,000-$500,000
$500,000+
WHAT IS YOUR IDEAL START DATE?
(Required)
MM slash DD slash YYYY
DESCRIBE THE SCOPE OF YOUR PROJECT. WHAT ROOMS DO YOU WANT TO DECORATE? (PLEASE CHECK ALL THAT APPLY)
ENTIRE HOME
ENTRY HALL/FOYER
FAMILY/GREAT ROOM
LIVING ROOM
DINING ROOM
KITCHEN
OFFICE/STUDY
NOOK
LAUNDRY/UTILITY ROOM
POWDER ROOM
MASTER BEDROOM
BEDROOM 1
BEDROOM 2
MASTER BATH
BATHROOM 1
BATHROOM 2
HOME THEATRE/MEDIA ROOM
LOWER LEVEL
OUTDOOR AREA
OTHER
IF OTHER, PLEASE SPECIFY:
WHAT DOES YOUR FAMILY (OR IF A BUSINESS – YOUR TEAM) NORMALLY DO IN THIS ROOM OR ROOMS?
(Required)
DO YOU WANT YOUR DESIGN DONE IN PHASES OR ALL AT ONE TIME?
(Required)
WHAT ARE YOU ENVISIONING THE SPACE TO LOOK LIKE WHEN IT’S COMPLETE & WHAT ARE YOU HOPING TO ACHIEVE WITH THE NEW DESIGN?
(Required)
HOW DO YOU WANT THE SPACE TO “FEEL”, OR WHAT MOOD DO YOU WANT IT TO CREATE? EX. WARM, COZY, AIRY, BRIGHT, LIVELY, GLAMOUROUS, WELCOMING, ETC.
(Required)
WHAT COLORS AND/OR MATERIALS DO YOU LIKE?
(Required)
WHAT COLORS AND/OR MATERIALS DO YOU DISLIKE?
(Required)
WILL THERE BE ANY FURNITURE, ART OR DECOR THAT YOU WANT TO KEEP?
(Required)
WHAT ITEMS DO YOU REQUIRE FOR EACH OF THE SPACES YOU WANT TO DECORATE?
(Required)
WHEN LOOKING AT FURNITURE, WHAT ARE YOUR FAVORITE STORES?
(Required)
IS THERE ANYTHING (EX. A PAINTING, PIECE OF FURNITURE, COLOR PALETTE) THAT HAS INSPIRED YOU?
(Required)
WHAT COLORS ARE YOU DRAWN TO?
NEUTRALS
DARKS
BOLD & BRIGHT
WARM COLORS (RED, BROWN, ORANGE)
COOL COLORS (BLUE, GREEN GREY)
WHAT METAL FINISH ARE YOU DRAWN TO?
SILVER
BRONZE
GOLD
BRASS
CHROME
BRUSHED NICKEL
MATTE BLACK
OTHER
Other
WHAT TYPE OF FABRICS ARE YOU DRAWN TO?
(Required)
SOLIDS
PATTERNS
BOTH SOLIDS & PATTERNS
PATTERNS:
FLORAL
GEOMETRIC
ANIMAL
STRIPES
OTHER
Other
WOULD YOU LIKE TO BE INCLUDED ON OUR EMAIL LIST? IT INCLUDES STYLE TIPS + TRICKS, SHOPPING RESOURCES AND ANY SPECIALS WE MAY BE HAVING.
(Required)
YES
NO THANKS
I’M ALREADY ON IT
ADDITIONAL COMMENTS: