list name, relation, age, and any special needs for all members of your householdAre there other individuals who frequently visit your home and have an effect on the way you live?YesNoIf yes, please explainDo you expect the number of members of your household to increase or decrease in the next year?YesNoIf yes, please explainType of HomeSelectSingle Family HomeCondo/ApartmentTownhomeOtherDo you own or rent your home?RentOwnHow many bedrooms are in your home?How Many Bathrooms are in you home?What rooms are in your home?Separate Living RoomSeparate Dining RoomGreat Room (living/dining combo)Family RoomKitchenBreakfast Nook (eat in kitchen)Study/Home OfficeLaundry RoomSunroomGuest RoomHalf BathroomWhat room(s) are you interested in redesigning?Living RoomDining RoomFamily RoomKitchenBreakfast Nook (eat in kitchen)Primary BedroomPrimary BathroomBedroom(s)Bathroom(s)Study/Home OfficeLaundry RoomSunroomWhat areas are needed in your home?Children’s Study AreaHousehold Paperwork AreaPart-Time Office (can be multipurpose)Full-Time OfficeSewing/Craft RoomHobby/Paly RoomWorkout AreaWhat is your preferred style of living?CasualCasual EleganceFormal EleganceBudget ConsciousModerateExpensive, but worth itOtherSelect the option that best describes your homeSelectPrimary ResidenceSecond/Vacation HomeRetirement HomeDo you enjoy entertaining?Yes NoOccasionallyHow often do you entertain?Selectweekly or moreonce a monthtwice a month2-3 times a yearonce a yearneverWhat type of entertaining do you do?Formal DinnersInformal DinnersSmall Dinner Parties (4-8 people)Large Dinner Parties (8 or more people)Cocktail PartiesOutdoor EntertainingChildren’s PartiesTeenage PartiesOvernight Adult GuestsWeekend GuestsLarge Family DinnersOtherWho do you entertain?Adult GroupsAdult IndividualsChildren’s FriendsChurch/Social GroupsBusiness AssociatesWhat feeling do you want your home to have?intimateopen and airybright and cheerfulelegantunclutteredspaciaousgrandtranquilenergeticsoftboldmutedWhat leisure activities do you enjoy?watching tvmusicswimmingreadinggardeningsports activitiesdanceart collectingpaintingcookingdining outfamily games (card, board, etc)video gamesshoppingboatingHow long have you lived in your home?Selectless than a year1-5 years6-10 yearsover 10 yearsHow long do you plan to remain in your home?Selectless than a year1-5 years6-10 yearsover 10 yearsWhy are you redesigning your space?moving into a new homemoving in togetherconstruction/remodeling homefurnishing/decorating homenew babytime for a refreshotherHow finished is your space?SelectI’m starting from scratchI’m designing around a few existing piecesI’m putting the finishing touches in placeList any existing furniture pieces that will be stayingList any furnishings that you know will need to be purchasedHow would you describe your design style?ContemporaryTransitionalEclecticTraditionalMid-Century ModernIndustrialFarmhouseShabby ChicCoastalScandinavianBohoMinimalDramaticWhat are your favorite stores for furniture & decor?Do you like to shop?Yes, I love the thrill of the huntSomewhat, but I like to get in and outNo, I’d prefer someone else do my shopping for meWhat are your favorite colors?RedOrangeYellowGreenBluePurplePinkWhiteBlackGrayBrownTanWhich do you prefer?Selectbold colorspastelsmedium tonesdarker tonesa mixture of tonesWhat are your favorite color combinations?What fabrics do you prefer?linensatinbrocadedamasksilkcottonchintzleathervinylwoolWhat patterns do you prefer?floralplaidgeometricabstractsmall printbold printstripesconservativecreativecoordinating designsanimal printsolidsAny final notes for your designer to consider?EmailSubmit Please enable JavaScript in your browser to submit the form
