Lifestyle Questionnaire

Names & birthdays of people living in household:

Name 1 *

First

Last

Name 2 *

First

Last

Email 1 *

Birthday 1 (M/D/YY) *

Email 2 *

Birthday 2 (M/D/YY) *

Name 3 *

First

Last

BIRTHDAY 3 (M/D/YY) *

Name 4 *

First

Last

BIRTHDAY 4 (M/D/YY) *

Name 5 *

First

Last

BIRTHDAY 5 (M/D/YY) *

Name 6 *

First

Last

BIRTHDAY 6 (M/D/YY) *

Are you on social media? Please share:

INSTAGRAM USERNAME: *

PINTEREST USERNAME: *

HOUZZ USERNAME *

Are you ok with us interacting with you and tagging you on social media? *

YES NO

KIDS

If you have children and we are designing a space they will be using, what are their needs?

PLEASE EXPLAIN STORAGE NEEDS: *

Please explain any specific needs that are of importance of concern to you: *

Do you have a need to create a space for toys, arts & crafts, or other designated items or spaces? *

PETS

DO YOU HAVE ANY PETS? *

YES NO

NAME/TYPE/BREED *

Do you let your pets live on your furniture? *

Yes No

In the area we are designing, do we need to incorporate any special designs for your pet? *

ENTERTAINING & LIFESTYLE

Do you entertain? If so, please explain who you entertain to and how: *

Do you host overnight guests? If so, please explain if and how you would like to improve your guest experience: *

What is your favorite room in your home and why? *

If you have children, what is their favorite room in your home and why? *

What room do you spend the most time in? *

If you have children, what room do your kids spend the most time in? *

PREFERENCES & LIVING STYLE

What bothers you about your house? *

What are your favorite indulgences around the home? Fresh flowers, candles, fragrances? *

What are your favorite fashion influences? Name designers or favorite store to shop in. *

Do you have any environmental allergies, such as fragrances, down fill, etc? Please explain. *

Are there any colors you dislike? *

How do you envision living in your future space and does it differ from how you live in it now? *

Are you hard on your things? Please explain. *

How do you spend your leisure time at home? For example: gourmet cooking, at-home wine tasting, painting, watching movies, reading, regular baths, at-home facials. Please explain. *

What are your favorite home and lifestyle magazines? *

What are your favorite colors? *

Is there anything you have a particular disdain for or that you want us to avoid or get rid of? *

VISUAL HELP

OUT OF THE BELOW IMAGES CLICK THE CHECKBOX NEXT TO THE IMAGES THAT SPEAK MOST TO YOU:

INTERIOR 1

INTERIOR 4

INTERIOR 2

INTERIOR 5

INTERIOR 3

INTERIOR 6

KITCHEN 1

KITCHEN 4

KITCHEN 2

KITCHEN 5

KITCHEN 3

LAMP 1

LAMP 2

LAMP 3

LAMP 4

LAMP 5

LAMP 6

Is there anything we haven't covered that you really love and want to incorporate into your space or communicate to our team? *