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RESIDENTIAL 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
DECISION-MAKER # 2 LAST NAME
DECISION-MAKER # 2 EMAIL
DECISION-MAKER # 2 PHONE
DECISION-MAKER # 2 BIRTHDAY
MM slash DD slash YYYY
ADDRESS
(Required)
Address
City
State / Province / Region
ZIP / Postal Code
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
OTHER DESIGNER
PINTEREST
PREVIOUS CLIENT
REALTOR
TIK TOK
YOUTUBE
OTHER
OTHER:
I AM A…
(Required)
HOMEOWNER
CONTRACTOR
INVESTOR
PROJECT TYPE
(Required)
Primary Home
Secondary Home
Multi-Family
Short-Term Rental
HOW MANY PEOPLE WILL BE LIVING IN THE HOME? WHAT ARE THEIR AGES?
(Required)
DO YOU OR ANYONE IN THE HOME HAVE ANY SPECIFIC NEEDS?
(Required)
DO YOU HAVE PETS? IF SO, WHAT TYPES?
(Required)
HOW OFTEN DO YOU ENTERTAIN? HOW MANY PEOPLE DO YOU TYPICALLY HOST?
(Required)
HOW WOULD YOU DESCRIBE YOUR DESIGN STYLE? PLEASE CHECK ALL THAT APPLY.
(Required)
MID-CENTURY MODERN
MODERN
CONTEMPORARY
BOHEMIAN
TRANSITIONAL
INDUSTRIAL
SCANDINAVIAN
OTHER
I AM UNSURE
OTHER
HOW WOULD YOU DESCRIBE YOUR DECISIVENESS? PLEASE CHECK ALL THAT APPLY.
(Required)
I am decisive and quick to make decisions
I am indecisive and take my time making decisions
I am depending on you, the designer, to guide my choices
I prefer to only see a few options and choices before making a decision
I prefer to see many options and choices before making a decision
PLEASE ATTACH ANY EXISTING PHOTOS AND/OR FLOOR PLANS
Accepted file types: pdf, doc, docx, jpg, png, jpeg, Max. file size: 100 MB.
RANK THESE IN ORDER OF IMPORTANCE: STYLE / QUALITY / AFFORDABILITY
(Required)
WHAT IS YOUR ANTICIPATED BUDGET (EXCLUDING DESIGN FEES)?
(Required)
$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
ARE YOU CURRENTLY WORKING WITH A CONTRACTOR, BUILDER, AND/OR ARCHITECT?
(Required)
Yes – Please list the company name(s)
I need help finding a contractor
I need help finding a builder and/or architect
PLEASE LIST THE COMPANY NAME(S)
DESCRIBE IN DETAIL THE SCOPE OF YOUR PROJECT. PLEASE COMPLETE ALL THAT APPLY.
NEW BUILD
REMODEL
FURNISHINGS
OTHER
WHAT DO YOU LOVE ABOUT THE CURRENT DESIGN/SPACE? WHAT DO YOU DISLIKE?
(Required)
HOW DO YOU ENVISION THE SPACE TO LOOK AND FEEL WHEN IT’S COMPLETE?
(Required)
DO YOU WANT YOUR DESIGN DONE IN PHASES OR ALL AT ONE TIME?
(Required)
WHAT COLORS ARE YOU DRAWN TO? PLEASE CHECK ALL THAT APPLY.
(Required)
Neutrals
Darks
Bold & Bright
Warm Colors (Red, Brown, Orange)
Cool Colors (Blue, Green, Grey)
WHAT METAL FINISHES ARE YOU DRAWN TO? PLEASE CHECK ALL THAT APPLY.
(Required)
Silver
Bronze
Gold
Brass
Chrome
Brushed Nickel
Matte Black
Other
WHAT PATTERNS ARE YOU DRAWN TO? PLEASE CHECK ALL THAT APPLY.
(Required)
Solids
Florals
Stripes
Abstract
Chevron
Herringbone
Animal
Other
WILL THERE BE ANY FINISHES, FIXTURES, FURNITURE, AND/OR ART/ACCESSORIES YOU WANT TO KEEP OR HAVE ALREADY PURCHASED?
(Required)
HOW LONG DO YOU PLAN ON LIVING IN OR OWNING 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)
YES
NO THANKS
I’M ALREADY ON IT
WHERE IS YOUR FAVORITE PLACE TO TRAVEL?
(Required)
WHAT ARE SOME OF YOUR HOBBIES?
(Required)
WHAT IS YOUR FAVORITE FOOD?
(Required)
WHAT IS YOUR FAVORITE FLOWER?
(Required)
WHAT IS YOUR FAVORITE BEVERAGE?
(Required)
WHAT IS YOUR FAVORITE SCENT?
(Required)
ADDITIONAL COMMENTS:
Email
This field is for validation purposes and should be left unchanged.
