NEW CONSTRUCTION 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 Country

ANNIVERSARY (IF APPLICABLE)

WHAT’S THE BEST WAY TO COMMUNICATE WITH YOU? CLICK ALL THAT APPLY(Required)

Phone call

Text

HOW DID YOU HEAR ABOUT US?(Required)

I AM A…(Required)

PROJECT TYPE(Required)

HOW MANY PEOPLE WILL BE LIVING IN YOUR HOME OR ARE IN YOUR BUSINESS? WHAT ARE THEIR AGES?(Required)

DO YOU OR ANYONE IN YOUR FAMILY 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

ARE YOU CURRENTLY WORKING WITH A CONTRACTOR OR ARCHITECT?(Required)

YES

I NEED HELP FINDING A CONTRACTOR/BUILDER

I NEED HELP FINDING AN ARCHITECT

PLEASE ATTACH ANY FLOOR PLANS DRAWN BY THE ARCHITECT (IF APPL.)

Accepted file types: pdf, doc, docx, jpg, png, jpeg, Max. file size: 64 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?(Required)

WHAT IS YOUR IDEAL START DATE?(Required)

MM slash DD slash YYYY

DO YOU OWN ANY EQUIPMENT OR FURNITURE THAT NEED TO BE INCORPORATED OR PLANNED FOR IN ANY WAY?(Required)

ARE THERE ANY SPECIAL FEATURES THAT ARE IMPORTANT TO YOU? EX. FIREPLACE, SUNROOM, CATHEDRAL CEILINGS, ETC.(Required)

WHAT ARE YOU ENVISIONING THE SPACE TO LOOK LIKE WHEN IT’S COMPLETE & WHAT ARE YOU HOPING TO ACHIEVE WITH THE DESIGN?(Required)

DO YOU HAVE A PREFERENCE FOR TYPE OF FLOORING?(Required)

WHAT COLORS AND/OR MATERIALS DO YOU LIKE?(Required)

WHAT COLORS AND/OR MATERIALS DO YOU DISLIKE?(Required)

IS THIS A PRIMARY OR SECONDARY HOME?(Required)

HOW LONG DO YOU PLAN ON LIVING IN THE HOME?(Required)

HAVE YOU BUILT A HOUSE BEFORE? WHAT WAS THE EXPERIENCE LIKE?(Required)

WOULD YOU LIKE TO BE INCLUDED ON OUR EMAIL LIST? IT INCLUDES STYLE TIPS + TRICKS, SHOPPING RESOURCES AND ANY SPECIALS I MAY BE HAVING.(Required)

ADDITIONAL COMMENTS:

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602.354.8468

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Office address:

10221 N. 32nd St., Suite K
Phoenix, AZ 85028

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