Client Questionnaire The following form has 4 sections. STEP 1: Let's Get Connected! “Design is not just what it looks like and feels like. Design is how it works.” – Steve JobsPrimary Contact Name* First Last Primary Contact Phone number(s)* Primary Contact Email* Do you have an additional contact?* Yes No Secondary Contact Name* First Last Secondary Contact Phone number(s)* Secondary Contact Email* Project Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How would you prefer to be contacted? (Check all that apply)* Phone Call Text E-mail List all whom are responsible for project decisions, approvals, and payment:NamePhone number(s)Email Use the + icon to add more people.Have you worked with an interior designer or an art curator before?* Yes No STEP 2: Let's Discuss Your Project! “Your home should tell the story of who you are, and be a collection of what you love.” – Nate Berkus What kind of space are you inquiring about?* Residential: Single‐Family Home Residential: Loft Residential: Townhome / Condo Commercial: Hospitality Commercial: Corporate Approximate square footage of your space Age of House/Building # Bedrooms/Offices # Baths How many years have you resided here and how many years do you anticipate to continue being here?* How will Interior Anthology be assisting you with your project? (Check all that apply)* Furnishing Renovation New Construction Art Curation What budget do you anticipate for your project including any applicable design and construction fees?* $10,000‐$20,000 $20,000‐$35,000 $35,000‐$50,000 $50,000‐$100,000 $100,00‐$200,000 $200,000-$500,000 This project is to be done* All at one time In stages Will occupants be available during project / construction for access?* Yes No If not, will you authorize designer and/or tradespeople to access?* Yes No Please specify the ideal start date for your project. (Month and year)* Please specify the ideal completion date for your project. (Month and year)* How involved do you want to be in the project?* I want to be as hands‐off as possible I want to be a very hands‐on part of the process I’m somewhere in‐between Do you and your partner’s style preferences agree?* Yes No Comments (for above question)Special Considerations – Check any that apply* Allergies Use of "green products" when possible Disabled, elderly or young children in the home Pets Other Other Special ConsiderationsPlease list all family members and their specific needs (such as work or study space, hobbies, etc.). Follow the example below to indicate these needs.NameOccupation, Study, Space, Special Needs, Hobbies Etc. Example: Susie, 43. Insurance agent, works from home, area for video conferencing.Please check the rooms to be included in your project* Entry Hall / Foyer / Reception Family/Great/Media Room Laundry/Mudroom Master Bathroom Outdoor Kitchen Formal Living Room Kitchen / Break Room Master Bedroom Bathroom(s) Outdoor Living Area Formal Dining Room Office / Study /Conference Room Bedroom(s) Other "Other" rooms to be included in your projectWhat enhancements or changes are you considering for your project? (Please check all that apply).* Furniture/Reupholstery Window Treatments Room Addition Flooring Artwork, mirrors, etc. Lighting Space Planning Wallpaper/Wall Finishes Other "Other" enhancements or changes you are consideringSTEP 3: Lifestyle information “I’m going to make everything around me beautiful – that will be my life.”– Elsie de Wolfe This is the longest section. The last section is only 2 questions.Our entertaining style is* Formal Informal Combination of both We entertain* 1‐2 times/week 1‐2 times/month 1‐2 times/year Do you have any collections?* Yes No If you selected yes, please explain belowAre any collections on display?* Yes No If you selected no, would you like to display your collection? Where?How do you feel about art in your home?* Fills up space on wall Every piece has a story and is hand selected I am unsure of my understanding of art ‐‐‐see art references at end of questionnaire for guidance Is additional lighting needed?* Yes No If yes, select locations in which lighting is needed* Bathroom Bedrooms Living Room Kitchen / Nook Family Room Office Other "Other" locations where lighting is needed Is additional storage needed? Please check all that apply Multipurpose Furniture Hidden Storage (for clutter issues) Closet Storage / Organizers Of the following choices, what is your most important personal design goal?* I am interested in achieving a more stylish/beautiful appearance for my home I want my home to function more efficiently for my household I want my home to better reflect our personal tastes What is your second most important personal design goal?* I am interested in achieving a more stylish/beautiful appearance for my home I want my home to function more efficiently for my household I want my home to better reflect our personal tastes STEP 4: Style Selection For the following questions, please refer to THIS PAGE with photographs to demonstrate each style. (The linked page will open in a new browser tab/window.) “I always put in one controversial item, it makes people talk.”– Dorothy DraperWhat Design Style do you prefer?* Traditional Transitional / Modern Eclectic What art curation style do you prefer?* Landscape Artwork Abstract Artwork Photography Portrait / Figure Artwork FollowFollowFollow
