NAME *

First Name

Last Name

What Room(s) to be Designed: *

Bathroom‎

Bedroom‎

Dining Room‎

Entry‎

Family Room‎

Hallway

Home Office‎

Kitchen‎

Living Room‎

Master Bedroom

Nursery‎

Child's Room‎

Powder Room

other

Number of People for Dining/Breakfast

*For designed Breakfast and Dining Area(s) only*

Breakfast 2-3

Breakfast 4-5

Breakfast 5-6

Dining 4

Dining 6

Dining 6-8

Dining 8-10

Does the Room(s) need to be kid or pet friendly:

Yes

No

Activities to consider for the space

Reading

Deskwork

Television

Stereo

Musical Instruments

Computer/Home office

Games

Hobbies

What are your long-term goals for your home?

Forever Home

Resale Eventually

Resale 3-5 years

Other

When it comes to your design aesthetic and style:

I know exactly what I like/want

I kind of know what I like/want

I need help figuring it out

We know what we want but don’t agree

Choosing Pattern[s]:

Ikat

Toile

Floral

Geometric

Houndstooth

Paisley

Plaid

Polka Dots

Scroll

Moroccan

Stripes

Demask

Chevron/Herringbone

Animal Prints

When it comes to making decisions, (Select one)

I am quick and confident

I’m fairly quick but sometimes second guess myself

I need a little time to make decisions

I'm very methodical in my decision making and need time.

What is your favorite way to Entertain?

Casual

Formal

sit-down

kid-friendly

Large gatherings

intimate