NAME *

First Name

Last Name

PHONE

(###)

###

####

ARE YOU THE PRIMARY DECISION MAKER?

YES

NO

HOW INVOLVED DO YOU WANT TO BE IN THE DESIGN PROCESS?

HANDS OFF: I trust a designer to stay within my budget & give me the big reveal!

SHOW ME THE PRETTY STUFF: I want the designer to do the leg work but still want to be involved in the design process.

DIY DESIGNER: I really know what I want & want to DIY but don't have the resources to do it all

POTENTIAL START DATE

MM

DD

YYYY

DESIRED COMPLETION DATE

MM

DD

YYYY

WHAT SERVICES ARE YOU INTERESTED IN? (CHECK ALL THAT APPLY)

select all that apply

DESIGN CONSULTATION

NEW BUILD

RENOVATION (LARGE SCALE)

RENOVATION (SMALL SCALE)

FLIP

FURNISHINGS + DECOR

ROOM-BY-ROOM DESIGN

STAGING

WEDDING

CELEBRATION

CORPORATE EVENT

CHARITABLE EVENT

DINNER PARTY

SCOUT & CELLAR WINE TASTING

WHAT TYPE OF SPACES DO YOU WANT TO FOCUS ON? (CHECK ALL THAT APPLY)

SELECT ALL THAT APPLY

ENTRY

FORMAL LIVING ROOM

FAMILY ROOM

KITCHEN

BREAKFAST NOOK

DINING ROOM

POWDER BATHROOM

OFFICE

MEDIA ROOM

PLAYROOM

MASTER BEDROOM

MASTER BATHROOM

KIDS BEDROOM

KIDS BATHROOM

NURSERY

GUEST BEDROOM

GUEST BATHROOM

PATIO

CABANA

EXTERIOR

LARGE SCALE VENUE (HOLDS 200+)

SMALL SCALE VENUE (HOLDS LESS THAN 200)

CHURCH

WHICH OF THESE BUZZ WORDS BEST DESCRIBES YOUR STYLE? (CHECK ALL THAT APPLY)

MODERN

TRADITIONAL

TRANSITIONAL

FARMHOUSE

ECLECTIC

CLEAN LINES

COZY

OPEN CONCEPT

ANTIQUES

RETRO

MID-MOD

COTTAGE

COLOR

NUETRALS

COASTAL

VINTAGE

DO YOU HAVE ANY PETS &/OR YOUNG CHILDREN?

YES

NO