New Potential Client Questionnaire Contact InfoName* First Last Phone*Email* Preferred Method of Contact* Phone Email Project AddressProject 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 Project DetailsArchitect* Builder/Contractor* Is the home in a development?* Yes No Is this a full-time or part-time residence?* Full-time Part-time Residents of the project home:* Self Spouse Children Pets Other Other residents: When would you like to begin project?* MM slash DD slash YYYY When do you hope to have the project completed?* MM slash DD slash YYYY Have you worked with an interior designer before?* Yes No If yes, please describe your experience.* Type of project:* New construction Renovation Furniture, Art, +Accessories Scope of project: (select one or more)* Entire Home Living Kitchen Dining Master Bedroom/Suite Master Bathroom Secondary Bedroom(s) Secondary Bathroom(s) Media/Theater Office Kids Outdoor Other Other project scope:* Project sq. footage:* How much are you planning to invest in this project? (Select one)* $50,000 - $75,000 $75,000 - $100,000 $100,000 - $200,000 $200,000 OR MORE What would you expect to spend on a high quality, long lasting sofa?* $2,500 - $4,500 $4,500 - $6,500 $6,500 OR MORE How would you describe your design style? (Select one or more)* Modern Contemporary Traditional Transitional Mid-Century Modern Rustic Industrial Eclectic Minimalist Other Other design style:* If you have a Pinterest or Houzz board, please paste the link below: What else should we know about you?How did you hear about us? A+R Website Google Search Facebook Instagram Houzz Printed Publication Referral Who can we thank? For verification purposes, please enter the characters shown below.
