Exit New Build + Remodel Project Interior Design Services Question Title * 1. Full Name: Question Title * 2. Cell Phone Number Question Title * 3. Design Service Address: Question Title * 4. What type of project is this? Remodel New Build Other (please specify) Question Title * 5. What is the approximate move-in date? Question Title * 6. Which rooms will need design assistance? Kitchen Bathrooms Master Bedroom Living Area Entire Home Other (please specify) Question Title * 7. Which room/rooms will require new furniture? Kitchen Dining Room Den/Living Room Master Bedroom Master Bathroom Guest Bath Guest Room Child’s Room Laundry All None Other (please specify) Question Title * 8. Do you currently have pieces you want to use? If so, please list a few. (Ex: king bed, a few lamps, a rug, some family heirloom pieces). Question Title * 9. Which word combinations do you desire for your space? Choose as many words that represent your style, vibe, etc. Modern Cozy Whimsical Bold Timeless Rustic Traditional Shabby Chic Question Title * 10. Which image/images represent your overall desired look for this project? Choose as many as needed. 3 Farmhouse. 3 Hollywood Glam. 3 Coastal Cottage. 3 Shabby Chic. 3 Boho. 3 Natural Aztec. 3 Rustic Retreat. 3 Gypsy Punk. 3 Modern Marvel. 3 Aspen Lodge. Question Title * 11. Which color combinations do you want to incorporate within your space? Choose as many as you like. The colors used within your home, office, etc. need to make you feel happy, relaxed and comfortable! 3 Forest Foliage. 3 Modern Desert. 3 Antique Twine. 3 Bohemian Bride. 3 Oyster Lining. 3 Spring Dream. 3 Autumn Fog. 3 French Roast. 3 Quails Nest. 3 Rhinestone River. Question Title * 12. Which fabric textures would you like incorporated within the space? 3 Burlap. 3 Linen. 3 Velvet. 3 Tweed. 3 Woven. 3 Satin Sheen. 3 Multi-Texture. 3 Cow Print. 3 Animal Print. Question Title * 13. Which wood color/colors do you like best? 3 Whitewash. 3 Pickled Cypress. 3 Early American. 3 Kona. 3 Dark Walnut. 3 Natural. Question Title * 14. When it comes to bath and kitchen fixtures, which finish do you lean towards? Chrome Nickel Brushed Bronze Gold Matte Black Other (please specify) Question Title * 15. Will you need assistance with choosing flooring, bathroom tile, light fixtures, etc? Yes No Other (please specify) Question Title * 16. Will you need assistance with choosing paint/stain colors? Yes No Question Title * 17. Shopping for paint, flooring, light fixtures, brick, tile, appliances, and other necessities for remodels/new builds is $150 per hour. How many hours would you like to pencil in? Emily can meet you personally or bring samples to you! 3-5 5-7 7-9 How ever many needed to finish project Question Title * 18. When will fixtures, flooring, paint colors, etc. need to be chosen for contractor? Question Title * 19. When remodel/build is finished and contractors have packed up, will you need decorating/staging assistance to complete each room? Interior design & staging services are $150 per hour. How many hours would you like to pencil in for this project? ($500 minimum) 5-10 10-15 As many as it takes to make perfect! Other (please specify) Question Title * 20. Would you like a custom printed design board? (This would include fabric swatches, paint samples, flooring photo, color pallet, etc. for the desired rooms. Easy to carry with you at all times for design/color reference). If so, choose your room choices below. ($200 per room) Kitchen Bathroom Master Bedroom Child’s Room (girl) Child’s Room (boy) Living Room Dining Room Laundry Front Porch Back Porch Office Play Room Man Cave No thanks Other (please specify) Question Title * 21. What is the overall budget you want to stay within for the entire design services provided by Emily G. Collection? Done
