Jillian Lare - Des Moines, Iowa Interior Designer

Des Moines Iowa Kitchen Designer Interior Design Interior Decorating

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New Client Questionnaire

About You
Your Name*
First Last
The main contact person for this project.
Mobile Phone*
Email*

The best email address to contact you at.
May we add you to our email list?*
- Yes
- No
We will never send you spam or share your email address.
How would you prefer to be contacted?*
Project Address*
Street Address Address Line 2 City State ZIP Code
Is the project address your current billing address?*
- Yes
- No
Billing Address
Street Address Address Line 2 City State ZIP Code
Will your partner or spouse be involved in the project?*
- Yes
- No
Partner's Name
First Last
Partner's Mobile Phone
Partner's Email
Please list the other members of your household and their ages.
How did you hear about us?*
May we ask who referred you?
Have you worked with an interior designer in the past?
- Yes
- No
Please describe your experience?
How long have you been in your home?*
How long do you plan to stay in your home?*
- Less than five years
- Five to ten years
- Ten to twenty years
- I'm going to die here!
Please select the choice(s) that best describe your style.*
- Very traditional
- A mix of traditional and modern with cleaner lines
- Warm modern - simple forms and clean lines but not cold and stark
- Contemporary
- Modern Farmhouse - you totally love Fixer Upper
- Rustic - bring on the barnwood
- Industrial
- Country - gingham, plaid and cozy casual lived in spaces
- Minimalist - the less stuff, the better
- Boho Chic - California inspired, laid back cool
- Global - colorful, a mix of print and pattern from around the world
- Glam
- Masculine
- Feminine
- Other
Which colors are you drawn to and which do you dislike?*
What else should we know about your style?
About the Project
Which of the following services best describe what you're looking for?*
- Design/Color Consultation with Ideas to Implement on My Own
- Space Planning Services with Floor Plans
- Kitchen or Bathroom Design
- Full Service, Full or Mostly Custom Interior Design
Please list three spaces you would like to address during our meeting in order of importance.
Type of Project
- Remodel
- New Construction
- Decorating
Are there accurate architectural plans available for your home?*
- Yes
- No
What prompted you to undertake this project at this time?
Which rooms are involved in this project?*
- Entire Home
- Entryway/Foyer
- Kitchen
- Master Bathroom
- Hall Bathroom
- Formal Living Room
- Family Room/Great Room
- Dining Room
- Child's Bedroom
- Nursery
- Guest Bedroom
- Lower Level / Basement
- Other
Please select all that apply.
Which other rooms are involved?
Please described the scope of the project.*
What do you like most and least about the space at this time?*
What items of furniture/accessories/artwork do you have that could be used in this space?
Where do you like to shop for items for your home?
At which level of investment are you comfortable for this project?*
- Less than $25,000
- $25,000 - $50,000
- $50,000 - $75,000
- $75,000 - $100,000
- $100,000 - $200,000
- Over $200,000
Please select the total budget, which includes labor and design services.
Have you engaged a contractor or builder for this project?
- Yes
- No
Name of Contractor or Builder's Company
Point of Contact for Contractor of Builder
First Last
Who is in charge of your project?
When do you want to start your project?*
- Immediately
- Three to six months
- Six months to a year
- More than a year from now
When do you hope for this project to be completed? Do you want it done in stages or all at once?
Additional Information
Link to Your Houzz Profile
We would also appreciate it if you shared any Ideabooks you've created specifically for this project with us.
Link to Your Pinterest Inspiration Board
If you have created a Pinterest Board for this project, please include a link to it here.
Is there anything else we should know?

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Jillian Lare is an interior designer, specializing in kitchens, bathrooms, residential remodels, and new construction. She is located in West Des Moines, Iowa, and provides services to homeowners throughout the Des Moines Metro area. She is available for long-distance design and projects outside of Iowa. In the past, she has designed projects in Philadelphia, Baltimore, and Vancouver.

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