Client Intake
Full Name
(Required)
Email
(Required)
Phone
Project Address
(Required)
City
(Required)
State
(Required)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code
(Required)
Space to be designed:
(Required)
Ex. Living Room, Primary Bedroom, etc.
Desired Service Package
(Required)
Full Service
E-design
Other
Provide a brief summary of your plan for the space:
What is the planned primary use of the space?
Who are the primary users of the space?
(include pets)
What items MUST be included in the design?
(Required)
Area Rug / Carpet / Flooring
Select all that apply
Window Treatments
Paint / Wallpaper
Soft Furnishings (Sofa/Sectional/Bed)
Accent Chair
Ottoman/Bench
Structures (Cabinets, Built-ins, Etc.)
Coffee Table
Side Table/Nightstand
Ceiling Lighting
Accent Lighting (Floor Lamp, Table Lamp, Wall Sconces, Etc.)
Storage Solutions
Styling (Pillows, Decor, Bedding)
Artwork
For each space, what are the current things you dislike?
For each space, what are the current things you love?
Please detail any current piece you that you own that MUST remain in the design?
If current paint color will remain, please provide color name or describe color:
What best describes your style?
Midcentury Modern
Contemporary
Minimalist
Traditional
Nautical
Eclectic
Industrial
Rustic / Farmhouse
Unsure
Without budget in mind, which retail store best reflects your desired aesthetic?
(Required)
Pottery Barn
Serena & Lily
Restoration Hardware
Anthropologie
Ikea
Flea Markets / Antique Shops
Room & Board
Rove Concepts
Crate & Barrel
Favorite Colors to Incorporate in Design
(Required)
Cream/White/Beige
Jewel Colors (Navy, Emerald, Ruby)
Bright Colors
Blues/Greens
Gray/Black
What finish do you prefer on your furniture?
(Required)
Black
White
Espresso (Dark Brown)
Walnut (Mid-tone Brown)
Pine (Pale)
Gray Wash
White Wash
Other Color
What color Metals do you prefer?
(Required)
Antique Brass
Bright Brass
Chrome
Oil Rubbed Bronze
Black
Satin Nickel
Please provide your budget to complete this project:
(Required)
Please provide preferred timeline for completion of your project?
(Required)
Anything else I should know?
File
Accepted file types: jpg, gif, png, Max. file size: 100 MB.
Feel free to upload photos of your current space as well as any design inspiration you’d like to share.
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