Date *
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Client #1
Client #1 Name *
Client #1 Name
Client #1 Phone *
Client #1 Phone
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Client #2
If applicable
Client #2 Name
Client #2 Name
Client # 2
Client # 2
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How you like to be contacted? *
What is the best way to contact you?
Project Address *
Project Address
Where is the location of the project you want to start?
Billing Address
Billing Address
If different from project address
If referral, please tell me more about how you were referred
Who will be responsible for making project decisions? *
Who will be responsible for making project decisions?
How involved do you plan to be with the design process? *
Will your spouse/partner or other decision maker be actively involved in the design process? *
Do you prefer full turnkey service or do you prefer to do the purchasing on your own? *
Have you ordered custom window treatments, bedding, and/or furniture before? *
I like to know what to expect before entering a project
Are there any disabled or elderly people living in the home? *
Explain any special needs you need to be incorporated into the project
Are there any allergies or other health concerns in your household? *
Explain any allergies or health concerns
Project Information
Project Type *
Please select all that apply
Has your home ever been remodeled? *
Project Budget *
Please select one
What best describes your ideal project timeline? *
When do you want it to be completed
Do you have a specific builder, contractor or subcontractor, with whom you prefer to work? *
Do you plan on staying in your home during renovation?
Project Scope
Do you have existing floorplans and/or photos of your space? *
If so, please email them to me at
What elements of design are you considering? *
Please select all that apply
Design Preferences
Which color do you prefer? *
Design Style
Select any terms that might apply to your renovation
Style *
Ambiance *
What overall feeling or mood do you want your space to exude?
Metal Finishes
Additional Project Details
Are there pieces of furniture, art or collections that must be worked into the new plan? *
Are you interested in environmentally friendly options *
Are there any technical needs associated with your project scope?
Please select all that apply
Do you already have a color scheme in mind? *