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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland 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)BNICONTRACTOR OR ARCHITECTFACEBOOKFRIENDGOOGLEHOUZZINSTAGRAMMAGAZINEOTHERPINTERESTPREVIOUS CLIENTYOUTUBEI AM A…(Required)HOMEOWNERDESIGNERCONTRACTORINVESTORPROJECT TYPE(Required)RESIDENTIALCOMMERCIALHOSPITALITYMULTI-FAMILYHOW 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 NO 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)$350,000-$500,000$500,000-$750,000$750,000-$1M$1M-$3M$3M+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)YESNO THANKSI’M ALREADY ON ITADDITIONAL COMMENTS: Contact Us 602.354.8468 Office address: 10221 N. 32nd St., Suite KPhoenix, AZ 85028 Ask me about Gift Cards! Get In Touch Name Email Address Phone Your Message 3 + 7 = Send Email FollowFollowFollowFollowFollow