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 New Client 
 Existing Client 
What is the current state of your project: *
 New Construction 
 Remodel 
 Other 
Name *

First
Last
Address *

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Email *
Phone Number

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Describe your favorite ways to entertain - casual or formal: number of people; etc...
Special Audio/Video/Computer Needs:
Special Hobbies/Activities

Please list the rooms you would like to work on.
First Room
Second Room
Third Room
What are your design dilemmas:
Describe the syle of your existing home furnishings:
 Country 
 French 
 Transitional 
 Eclectic 
 Contemporary 
 Southwestern 
 Formal 
 Casual 
 Early American 
 Traditional 
 Other 
Additional Comments
Existing furniture you plan to keep in this room include:
 Wood Pieces 
 Home Textiles 
 Upholstery 
 Other 
Explain the pieces you would like to include.
Describe any favorite possessions that may be an inspiration for the design of your room.
In the room(s) you're working on, describe the mood you want to create.
 Elegant 
 Sophisticated 
 "Lived In" 
 Delicate 
 Casual 
 Romantic 
 Traditional 
 Vibrant 
 Cozy 
 Formal 
 Welcoming 
 Country 
 Active 
 Transitional 
 Spacious 
 Informal 
 Contemporary 
 Other 
Additional Comments
Which of the following are you interested in for the room:
 Wood Furniture 
 Upholstery 
 Leather 
 Clocks 
 Draperies 
 Area Rugs 
 Bed Covering 
 Lighting 
 Accessories 
 Recliners 
 Mirrors/Screens 
 Wood Accents 
 Home Textiles 
 Pillows 
 Wall Decor 
 Wallpaper 
 Home Office 
 Other 
Comments

Color Preferences
Colors *
 White 
 Beige 
 Yellow 
 Red-Orange 
 Pastel Pink 
 Lavendar 
 Blue 
 Powder Blue 
 Olive Green 
 Pastels 
 Earth Tones 
 Bright 
 Black 
 Tan 
 Peach 
 Red 
 Mauve 
 Purple 
 Periwinkle 
 Aqua 
 Forest Green 
 Jewel Tones 
 Warm Colors 
 Grey 
 Pale Yellow 
 Coral 
 Burgandy 
 Eggplant 
 Teal 
 Navy Blue 
 Mint Green 
 Green 
 Neutrals 
 Cool Colors 
 Other 
Comments
Colors you dislike:
Please describe the color theme YOU have in mind for the room(s) you're working on:

Please indicate your pattern and fabric preferences:
Fabrics *
 Solid 
 Bold Pattern 
 Geometric 
 Bird/Animal 
 Moire 
 Leather 
 Damask 
 Stripe 
 Plaid 
 Abstract 
 Florals 
 Satin 
 Chintz 
 Mini Pattern 
 Paisley 
 Flamestitch 
 Velvet 
 Textured 
 Tapestry 
 Other 
Fabrics you dislike:

What amount are you planning to invest in this project ( please do not include design time fees )
*
 0-$2,500 
 $2,500-$5,000 
 $5,000-$7,500 
 $7,500-$10,000 
 $10,000 + 
When you think of budget - which store describes it best:
 Ikea/Target (lowest) 
 Pottery Barn/Crate & Barrel (medium) 
 Restoration Hardware/ William Sonoma (high) 
 Custom 
 Not Sure 
 Other 
When would you like the design project completed:
 No Rush 
 Certain Date 

Photo Uploads

Please upload any pictures you have of the room or furniture you plan to keep in the space.
File Upload
Upload a picture of your space.
File Upload
Upload a picture of your space.
File Upload

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