1. *First Name (required)
3. *Choose the "room" you want help with. (required)
4. *Describe the "function" (how you will be using the room?), example: eating, sleeping, tv, guests, office etc. (required)
5. Describe "who" will be using the room, example: adults, children, baby, guests, or everyone?
6. *What is the size of the room? (required)
9. *What are the items you are "not keeping and/or want to change" ? (required)
example: furniture, paint color, window treatment, design style change.
10. What do you call your "design style"? If you don't know, don't worry!
12. * PHOTOS of the room: I will send ……. (required)
Views of all "four" walls (try to capture the entire room).
For an "open floor plan", please send additional photos of "adjacent rooms". You may enter all additional information on this page at the
For (more than one individual room): Open a "new" Questionnaire Form for each individual room separately.
8. *Name the "existing colors" in the room that you want to work with for a new look. (required)
7. *Do you have any animals? (required) * designer suggestions will be affected
2. *Phone number (required)
*E-Mail (required)
# 1. Questionnaire ~ 3 Steps
# 2. Submit this Questionnaire ~
11. *What is the "feeling" you want for the room? (required)
E-mail 'confirmations' will be returned regarding all correspondence!
for FREE Estimate
Last Name (optional)
13. *Are you a handyman or handywoman? (move furniture? hang art? paint?)
15. *Are you willing to DIY (do it yourself) - research, shop? (required)
Questionnaire
Tell Me About Yourself….. I 'd like to know about your design style.
By filling out this questionnaire, I’ll have a better understanding of you,
your room project and your vision for your home.
# 3. Email 4 or more photos
16. What places do you like to shop for furniture & home décor?
14. *Are you crafty?
