Design Client Questionnaire

Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What room(s) are you interested in redesigning? *

Select all that apply

Living Room

Family Room

Dining Room

Kitchen

Bathroom

Bedroom

Game Room

Office/Study

Laundry Room

Other

What design style(s) do you prefer? *

Select all that apply

Coastal

Farmhouse

Transitional

Traditional

Contemporary

Rustic

Eclectic

Bohemian

Modern

Industrial

Are there any wall treatments you want to consider?

Wallpaper

Paint

Special Treatment

None

What is your budget?

$15,000-$30,000

$30,000-$50,000

$50,000-$100,000

$100,000+