NAME
*
First Name
Last Name
EMAIL
*
PHONE #
(###)
###
####
CURRENT ADDRESS
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
PROJECT ADDRESS
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
HOME SQUARE FOOTAGE
PROPERTY SQUARE FOOTAGE
PROJECT START DATE
MM
DD
YYYY
IDEAL PROJECT COMPLETION DATE
MM
DD
YYYY
TYPE OF PROJECT
NEW CONSTRUCTION
LARGE SCALE RENOVATION
FULL FURNITURE & STYLING ONLY
PROPERTY STAGING
WHICH ROOMS ARE INCLUDED IN YOUR PROJECT?
ENTRY
KITCHEN
KITCHEN NOOK
BUTLER'S PANTRY
FAMILY ROOM
LIVING ROOM
DINING ROOM
BAR
POWDER BATHROOM
LAUNDRY ROOM
MUD ROOM
MEDIA ROOM
MASTER BEDROOM
MASTER BATHROOM
MASTER WALK-IN
SECONDARY BEDROOMS
SECONDARY BATHROOMS
DEN
OFFICE
PLAYROOM
GYM
POOL HOUSE
THEATRE
ADDITIONAL SPACES
FURNITURE & STYLING
FULL INTERIOR AND EXTERIOR FURNISHINGS
FULL INTERIOR FURNISHINGS
PARTIAL FURNISHINGS
NO FURNISHINGS
EXTERIOR AREAS THAT NEED DESIGN OVERSIGHT
EXTERIOR STYLE OF HOME
CALIFORNIA ROOM
FRONT ENTRY
POOL
FRONT YARD
SPA
BACKYARD
FRONT PORCH
BACK PORCH
ADDITIONAL SPACES
STYLE YOU ARE LOOKING TO ACCOMPLISH
BOHEMIAN
COASTAL
CONTEMPORARY
ECLECTIC
FARMHOUSE
GLAM
INDUSTRIAL
MID-CENTURY MODERN
MODERN
TRANSITIONAL
OTHER
ESTIMATED NEW CONSTRUCTION BUDGET
$100,000-$250,000
$300,000-$500,000
$550,000-$1,000,000
$1,000,000-$2,000,000
$2,000,000-$3,000,000
$3,000,000-$5,000,000
$5,000,000+
ESTIMATED NEW FURNITURE & DECOR BUDGET
$5K-$10K
$10K-$20K
$20K-$50K
$50K-$100K
$100K-$200K
$200K-$250K
$250K-$300K
$300K-$350K
$350K-$400K
$400K-$500K
$50K+
ARCHITECT ON THE PROJECT
BUILDER OR CONTRACTOR ON THE PROJECT
ANYTHING ELSE WE SHOULD KNOW ABOUT THE PROJECT?
HAVE YOU WORKED WITH A DESIGNER BEFORE?
YES
NO
PLEASE DESCRIBE YOUR EXPERIENCE
HOW DID YOU HEAR ABOUT US?
INSTAGRAM
PUBLICATION
FACEBOOK
WEBSITE
HOUZZ
REFERRAL
PINTEREST
GOOGLE SEARCH