NEW CLIENT QUESTIONNAIRE LET'S CONNECT! NAME * First Name Last Name EMAIL * CURRENT ADDRESS * Address 1 Address 2 City State/Province Zip/Postal Code Country Do you rent or own? * Rent Own Ideal project start date * MM DD YYYY Ideal project completion date * MM DD YYYY Type of project * Consultation Furniture & Styling Remodel/Renovation New Construction Why are you redesigning your space? * New home Moving in together Construction/Remodel Furnishing / decorating a rental property Time for a refresh Which services are you interested in? * Design Consultation Color Consultation Furniture Space Planning Art + Accessory Selections Finish + Material Selections Furniture + Fabric Selections Paint + Custom Wall Treatments 3D Visualizations + Renderings Mood Boards Which spaces are included in your project? * Entry Mud Room Living Dining Kitchen Pantry Primary Bedroom Primary Bath Powder Bath Secondary Bedroom Secondary Bath Laundry Room Home Office Other: Who do you share the space with: * Just Me Partner Kids Pets Roommates Parents/In-laws Other: Do you have any lifestyle factors you'd like us to keep in mind? * Type of home? How finished is your space? * Starting from scratch Mostly furnished Somewhere in between Are any of your existing furniture pieces staying? * Yes No If yes, please list: Are you open to cosmetic upgrades? * Millwork, Wall Treatments, etc Yes No What do you like/dislike about your current space? * What is the desired mood for your space? * What are your color preferences? * Where do you typically shop for furnishings + decor? * Link to your Pinterest board, if you have one. http:// Estimated renovation/construction budget * Estimated furnishings & decor budget * Estimated design services budget* * What are your goals for working with us on your project? * Describe your design style or ideas for this project: * Any additional notes to share with your designer? How did you hear about Breezy Acres Design Studio? Thank you for completing this form, we'll be in touch!
