Design Questionnaire Questionnaire Form Contact: First Name: Last Name: Email: Phone Number: Address Line 1: City: Address Line 2: State/Province: Postal/Zip Code: Project Information: Design Package: Select Design Package Package 1: Mood Boards Package 2: Room Refresh Package 3: Full Room Package 4: Designer/Realtor Design Style: Select Design Style: Style 1: Traditional Style 2: Modern Style 3: Scandinavian Style 4: Coastal Style 5: Farmhouse Style 6: Transitional Style 7: Contemporary Style 8: Mid-Century Style 9: Modern Farmhouse Style 10: Other Style 11: I Don't Know Project Scope: Rooms: Project Timeline: Wishlist: Valuables: Pets: Does the room need to be pet friendly? Yes No Finishes: Colours: Metals: Do you have a specific metal(s) you want integrated into the design? Brushed Nickel Brushed Gold Polished Nickel Matte Black Gold Champagne Brass Other Dimensions: Upload Files: *Tip: Use [CTRL] or [Shift] to Select Mulitple Files Sketch: Please upload a rough sketch of the space with dimensions if you are able to. Photos of the Space: Upload photos of your space that needs some extra love. Inspiration Photos: If you have any inspiration images you would like to share with me please upload here. Terms & Conditions: I have read and agree to the terms & conditions of the design services: Yes Do we have permission to feature your space on our social media and website? Yes No Submit
