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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
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
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.