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: DO YOU HAVE ANY FAMILY HEIRLOOMS OR CHERISHED ITEMS YOU OWN & WOULD LIKE INCLUDED IN THE DESIGN? Please describe their significance and any stories associated with them. ARE THERE ANY FAMILY PHOTOGRAPHS OR ARTWORKS YOU'D LIKE TO DISPLAY? Please share details about their significance. ARE THERE ANY FAMILY RECIPES, SONGS OR STORIES THAT HOLD SPECIAL MEANING? Would you like to see these honored or integrated into your space in some way? ARE THERE ANY STORIES OR MEMORIES FROM YOUR CHILDHOOD THAT YOU'D LIKE TO EVOKE IN YOUR CURRENT SPACE? Think about scents, colors, or specific rooms that left an impression. ARE THERE ANY PARTICULAR FAMILY TRADITIONS OR RITUALS THAT ARE IMPORTANT TO YOU? How might these influence the way you use your space? DO YOU HAVE ANY SEASONAL TRADITIONS OR CELEBRATIONS THAT REQUIRE SPECIAL ACCOMMODATIONS IN YOUR HOME? For example, hosting large family gatherings or specific holiday decorations. WOULD YOU LIKE TO CREATE NEW TRADITIONS IN YOUR HOME THAT FUTURE GENERATIONS CAN CHERISH? If so, what might these look like? DO YOU HAVE ANY ANCESTRAL ROOTS OR CULTURAL BACKGROUNDS YOU'D LIKE REFLECTED IN YOUR HOME? This could include specific regions, customs, design elements, colors, or dedicated space. 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!