Your InformationName* First Last Email* Phone*How do you prefer to be contacted?*PhoneEmailMay we text you at this number?*YesNoProject Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you the primary decision maker?*YesNoIf no, please list any individuals who will be responsible for approvals and paymentHow did you hear about us?Select oneReferralGoogleHouzzSocial MediaPressOtherPlease give us some details about how you found usOccupation*His Birthday MM DD YYYY Her Birthday MM DD YYYY Anniversary MM DD YYYY Project InformationType of Space*ResidentialCommercialDo you own or rent this space?*OwnRentApproximate Square Footage*Who is the builder or developer?What is the age of this home or office?If this is a residence, how long have you lived here?Project Type* Initial Consultation Designer For A Day Full Service Design New Construction Renovation Room Transformation Paint Color Consultation Styling Design Consulting Christmas/Seasonal Decorations Other Residential Project Focus (you may choose more than one) Entry Formal Living Room Dining Room Den/Family Room Kitchen Breakfast Room Bar Area Master Bedroom Master Bathroom Guestroom #1 Guest Bathroom #1 Guestroom #2 Guest Bathroom #2 Guestroom #3 Guest Bathroom #3 Children's Bedroom Children's Bathroom Powder Bathroom Media Room Study Wine Room Exercise Room Hallways Closets Utility Room Outdoor Spaces Other Please tell us a little about your project*What is your overall vision for this project?Interior Services Needed Space Planning/Furniture Layout/Floor Plan Review Kitchen Design Bathroom Design Fireplace Design (Quartz, Marble, Granite, Tile) Plumbing & Hardware Interior Door Selections Built-In/Cabinet Design Baluster & Ironwork Selection Window Coverings (Shutters, Woven Blinds, Motorized Shades) Painting & Staining Special Finishes, Faux Finishes, Murals Floor Coverings (Wood, Tile, Marble, Carpet, Vinyl) Rug Selection Lighting Selection Furniture & Material Selections/Specifications Reupholstery Wallcoverings Custom Draperies & Hardware Antiques Custom Bedding/Linens Custom Artwork & Framing Accessories Selection Other Exterior Services Needed Roofing Materials Stone, Brick or Stucco Selections Gutter Selections and Color Exterior Door Selections and Design Iron Gate & Balcony Design Window Selections and Color Paint Colors Paving Materials Cast or Cut Stone Profile Selection Gas or Electrical Lantern Selection Patio Fireplace Design Outdoor Living Space Planning & Design Other How would you describe your design style?(ie. Traditional, Contemporary, Modern, Tuscan, Rustic Elegance, Casual Elegance, Transitional, Country French, Other)Ideal Start Date MM DD YYYY Ideal Completion Date MM DD YYYY How would you like to complete your project?In phasesAll at onceEstimated Budget for Your Project (services and goods)*Select oneUnder 40k40k - 100k100k - 250k250k - 500k500k or OverPlease provide a quick summary of your projectHow involved do you want to be in the project?I want to be part of every decisionI'd like to be as hands off as possibleI'm somewhere in betweenWhat is your expectation of working with an Interior Designer on this project?Would you like to receive our free monthly eDesign newsletter?*YesNoCommentsThis field is for validation purposes and should be left unchanged.