Initial Lifestyle Questionnaire

469.401.4141

What patterns do you prefer? (Check all that apply) *

Geometric

Greek Key

Diamond

Striped

Chevron

Marble

Do you need a space for silence, prayer or exercise? *

Address: *

Name(s):

What is your favorite room in the house? *

Do you like to shop for your home and how often? *

This questionnaire is designed to give me a head start on creating a comfortable, stress free and beautifully personalized home for you and your family. All information is confidential. It is a starting point and guideline only. Our Interior Design Consultation and conversations will provide all detail needed.

Children *

Yes

Yes, but do not live in the home

What do you consider your design style?? (Check all that apply) *

Modern

Contemporary

Industrial

Mid Century Modern

Glam

Minimalist

Eclectic

What finishes do you prefer? (Check all that apply) *

Gold

Silver

Bronze

Graphite

Black

White

What mood do you want to create overall? (Check all that apply) *

Modern

Contemporary

Industrial

Mid Century Modern

Glam

Minimalist

Eclectic

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List your 3 favorite colors: *

Phone(s): *

Occupation(s): *

3 Colors you dislike: *

Email(s): *

What is holding you back from completing your home? *

What fabrics do you prefer? (Check all that apply) *

Linen

Leather

Velvet

Cotton

What kind of surroundings make you happy (Check all that apply) *

A hotel getaway atmosphere

A simple and airy space

A bright room with lots of colors

You have successfully completed the form and we look forward to seeing you at your scheduled Interior Design Consultation!

Additional Comments to share:

Pets *

Yes

Have you worked with an Interior Designer before? *

Yes

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