Client Questionnaire The purpose of this questionnaire is to help our design team have a better understanding of your goals, desires, and objectives for your project. Typically this also helps mentally focus your ideas and goals at the same time. Contact Information Name:______________________________________Email:____________________Cell:_____________________ Street Address City
State ____________Zip:________________________
How would you prefer to be contacted? Have you ever hired an interior designer?
Cell Phone No
Yes
How did you hear about us?
Houzz
Thumbtack
Referral:___________________________
Internet
Text
About Your Project Project Type:
New Construction
Remodel
Decor/Furnishings
Project Budget:
$1k---$3k
$3k---$6k
$6k---$9k
$9---$12k
$12k-$15k
$15k-$18k
$18k---$21k
$21k-$25k
$25k-$30k
$30k-$35k
$35k---$40k
$40k-$50k
6-8 Months
Other:_________________
What best describes your time line for completion? 3-6 Months
Rooms Included in your project: (circle) Entire Home Entry/Foyer Great Room Dining/Eating Kitchen Office Laundry Mud Room Powder Bath Guest Bedroom Guest Bathroom Master Bedroom Master Bathroom Other:_____________________________________ Enhancements being considered: (circle) Cabinets, Counters Flooring Furniture Re upholstery Window Treatments Appliances Plumbing Fixtures Interior Paint Wall covering Space Planning Lighting Artwork and Accessories, Other:_____________________________ Inspiration / Goals Do you have a Houzz account you would like to share with us? Do you have a Pinterest Board you would like to share with us? Do you have images you would like to share with us?
Your Lifestyle Your Life and Style: (Circle) Formal Transitional Modern Farm House Industrial Colors I Love: (Circle) Reds Oranges Yellows Greens Blues Purple Brown Black white Cream
Your People and Pets Are there any special needs relating to your family or household that would need to be accounted for in the design or construction? _________________________________________________________________________________ Do you have any pets? __________________________________________ Existing Furniture: Are there any pieces of furniture or Items that must be worked into the new plan? Please explain:_________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Is there anything that you really want us to know about the project etc. _______________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________
We look forward to working together. Please email this back to Dana Rickers: roomcandyorders@gmail.com