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E-DESIGN :: QUESTIONNAIRE
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Name
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First
Last
Address
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Email
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Phone Number
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What room would you like designed?
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What budget would you like to stick to?
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How would you describe your lifestyle?
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Casual
Formal
Somewhere in between
What style (or styles) do you like best? (Check as many as you like)
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Modern
Eclectic
Traditional
Beachy
Rustic
Industrial
Mid Century Modern
Eco-Chic
Transitional
Glamorous
Anything else you'd like to add about your style?
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What is the overall feeling you'd like to have in your room (cozy, energizing, calm)?
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What are your favorite colors?
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What patterns are you most drawn to?
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Florals
Geometrics
Stripes
I prefer solids
Other (please list below)
Other:
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What color palette would you like in this room?
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Soft, calming colors
Bright, energizing colors
A neutral palette with pops of color
What are your favorite metal finishes?
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Chrome
Brass
Gold
Oil Rubbed Bronze
Satin Nickel
Iron
I like a mixture of metals
What kinds of activities will take place in this space? (i.e. dinner parties, movie nights, crafting, etc.)
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Do you have young children?
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Yes
No
Do you have pets?
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Yes
No
Are there any pieces of furniture you would like to keep? If so, please describe and include dimensions.
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Any additional thoughts or comments?
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