New Client Questionnaire About YouYour 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?*YesNoWe will never send you spam or share your email address.How would you prefer to be contacted?*TelephoneEmailText messageProject Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is the project address your current billing address?*YesNoBilling Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Will your partner or spouse be involved in the project?*YesNoPartner's Name First Last Partner's Mobile PhonePartner's Email Please list the other members of your household and their ages.How did you hear about us?*HouzzGoogle SearchClient ReferralVendor ReferralOtherMay we ask who referred you?Have you worked with an interior designer in the past?YesNoPlease describe your experience?How long have you been in your home?*How long do you plan to stay in your home?*Less than five yearsFive to ten yearsTen to twenty yearsI'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 ProjectWhich of the following services best describe what you're looking for?*Design/Color Consultation with Ideas to Implement on My OwnSpace Planning Services with Floor PlansKitchen or Bathroom DesignFull Service, Full or Mostly Custom Interior DesignPlease 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?*YesNoWhat 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 - $200,000Over $200,000Please select the total budget, which includes labor and design services.Have you engaged a contractor or builder for this project?YesNoName of Contractor or Builder's CompanyPoint of Contact for Contractor of Builder First Last Who is in charge of your project?When do you want to start your project?*ImmediatelyThree to six monthsSix months to a yearMore than a year from nowWhen do you hope for this project to be completed? Do you want it done in stages or all at once?Additional InformationLink to Your Houzz ProfileWe would also appreciate it if you shared any Ideabooks you've created specifically for this project with us.Link to Your Pinterest Inspiration BoardIf you have created a Pinterest Board for this project, please include a link to it here.Is there anything else we should know?
