Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Have you ever worked with an Interior Designer ? *

Yes

No

Project Start Date *

When would you like to start your project?

MM

DD

YYYY

Project Completion Date *

When would you like to have your project completed?

MM

DD

YYYY

Project Size *

How many rooms would you like to design?

1 Room

2 Rooms

3 Rooms

4 Rooms

5 Rooms or More

Do you rent or own ? *

Rent

Own

Project Investment *

Note: Project Investment does not include the E-Design Fee or any other applicable fees

$10,000 - $20,000

$20,000 - $30,000

$30,000 - $40,000

$40,000 - $50,000+

Room(s) To Be Designed *

What room(s) are you interested in designing?

Living Room

Dining Room

Family Room

Office / Study

Kids room

Nursery

Playroom

Media Room

Finished Basement

How would you describe your decision making style? *

Confident Decision Maker

Change My Mind Often

Need Options Before Final Decision

Children *

Do you have any children ?

Yes

No

Pets *

Do you have any pets ?

Yes

No

Does the room(s) need to be Kid or Pet Friendly ?

Yes

No

Special Considerations *

Is there any special considerations of importance for the design of your space(s)

Disabled

Special Needs

Elderly

None

Do you like to entertain ? *

Yes

No

Remote Work *

Does anyone work from home within your household ?

Yes

No

What kind of spaces make you feel good ? *

Casual, layback, cozy, user friendly this is my priority

Formal, luxurious, elegant, attractive these spaces are relaxing but impressive

A blend of both formal and casual but it all depends on the space

Design Styles

What is your design style ? What are you most drawn too ?

Modern

Modern - Ethnic

Contemporary

Contemporary - Costal Influence

Contemporary - Scandinavian Influence

Minimilist

Traditional

Mid - Century Modern

Transitional

Art Deco

Southwestern

Industrial

Bohemian

Country

Retro

Do you and your partner share the same design style?

Yes

No

Not Applicable

What would best describe the feeling that you would like to achieve within the space(s) *

Check all that apply

Casual / Relaxed

Formal / Elegant

Sophisticated

Warm / Cozy

Worldly

Lively / Bright

Welcoming

Spacious

Minimal

Romantic

Funky

Contemporary

Cool / Understated

Playful

Masculine

Feminine

Will you be purchasing new furniture?

Yes

No

Both

Do you have any special collections that you would like to showcase within the design ? *

Yes

No

What colors do you prefer? *

Check all that applies

Neutrals ( Black, White, Beige)

Cool Colors (Blue, Greens, Silver, Grays)

Warm Colors ( Red, Brown, Orange)

Earthy Tones

Bold & Bright

Bold & Dramatic

Pastels

Fabrics *

What type of fabrics do you like ? Check all that applies

Leather

Cotton

Silk

Polyester

Chiffon

Brocade

Rayon

Damask

Microfiber

Chenille

Charmeuse

Boucle

Are you drawn to Patterns or Solids ?

Patterns

Solids

Both

Window Coverings *

Select all that apply

Drapery

Roller Shades

Roman Shades

Sheers

Blinds