Design Style Questionnaire **We highly recommend using a computer or laptop to complete this form. If you fill it out on a phone or tablet, it may not save!** Question Title * 1. Contact Info Name (First & Last) * Address to Be Designed * Apartment # (if applicable) Town * State * ZIP/Postal Code * Email * Cell Phone Number * Question Title * 2. If a home visit is a part of your design plan, are there any special instructions that the designer will need to find your place? If outside a city center, are there any special parking instructions your designer should know? Question Title * 3. Which area best describes the address location? Washington, D.C. Area UWS, Manhattan UES, Manhattan Midtown East, Manhattan Midtown West, Manhattan Kips Bay/Gramercy Park, Manhattan Chelsea, Manhattan Noho, Manhattan Soho, Manhattan East Village, Manhattan West Village, Manhattan Downtown, Manhattan Battery Park City, Manhattan Harlem, Manhattan Tribeca, Manhattan Washington Heights/Inwood, Manhattan Brooklyn Queens Bronx Staten Island Long Island, NY Westchester, NY New Jersey Connecticut Other (please specify) Question Title * 4. Where did you hear about Affordable Interior Design? Facebook Our Newsletter Yelp Instagram Specific Google Search Our Interior Design Classes Our Blog Mailer Returning Client Our Podcast TV/Newspaper Referral (please specify name) Question Title * 5. Have you worked with an interior designer before? No Yes If yes, who did you work with? Question Title * 6. Do you: rent own Question Title * 7. How long have you been in the space? haven't yet moved in less than 1 year 1 year 2 years 3 years 4 years 5 years 6-10 years 10+ years Question Title * 8. How long do you plan on being in the space? 1 year 2 years 3 years 4 years 5 years 6-10 years 10+ years Question Title * 9. How many adults are in your household? 1 2 3+ Question Title * 10. How many kids are in your household? 0 1 2 3+ Question Title * 11. How many cats are in your household? 0 1 2 3+ Question Title * 12. How many dogs are in your household? 0 1 2 3+ Question Title * 13. If applicable to your plan, what room(s) do you want to work on with the designer during this session? (Check all that apply.) Living/Dining Combo Room Living Room Dining Room Primary Bedroom Guest Bedroom Children's Bedroom Office/Den Family Room Entryway/Hallway Basement Bonus Room Bathroom Kitchen Studio Outdoor Area/Patio/Sunroom Other (please specify) Question Title * 14. Why do you need help from an interior designer? Question Title * 15. Where are you from? City and/or State Country Question Title * 16. What is your profession? Question Title * 17. List 3 hobbies/interests/things that make you happy: 1. 2. 3. Question Title * 18. What are the 3 biggest problems with the space to be designed? 1. 2. 3. Question Title * 19. In the room(s) that will be designed, do you need a workspace/desk area? No Yes If yes, tell us more about what the space will need, i.e. a printer, file storage, a desktop computer, a hard drive, etc. Question Title * 20. In the room(s) that will be designed, do you plan on entertaining guests? No Yes If yes, tell us more about how many people come over and what the space will need, i.e. a sofabed, a dining table that extends, additional seating options, etc. Question Title * 21. In the room(s) that will be designed, do you need additional storage? No Yes If yes, tell us more about what the space will need, i.e. clothing storage, toy storage, book/media storage, paper storage, etc. Question Title * 22. Which word(s) best describe your design style? Contemporary -- It is characterized by clean lines, simple shapes, pops of color, and clutter-free surfaces. Traditional -- Symmetry, soft textures, and curved lines are cornerstones of this style. Transitional -- It is a blend of contemporary and traditional styles--see above. Asian-Inspired -- Elements from Eastern cultures are celebrated in this style. Bohemian -- These spaces are full of of international accents, embellished fabrics, and jewel-toned colors. Beachy -- It is light, airy, and inspired by all things ocean. Eclectic -- These rooms are the epitome of a “mix,” blending many styles, patterns, and palettes. Glam -- A.k.a. Hollywood Regency, this style is all about luxe, shine, and dazzle. Industrial -- This style blends unfinished, aged, or salvaged building materials into the décor. International -- Raw materials and fabrics native to different cultures are mixed in this globally-inspired style. Modern -- It is known for minimalism and man-made materials like chrome and glass. Mid-Century Modern -- This style features clean lines, geometric shapes, and furniture with tapered legs which bring a lived-in look to modern style. Rustic -- Spaces in this style feature raw woods, wrought iron, sun-bleached colors, and animal hides. Unsure Other (please specify) Question Title * 23. Which store(s) best reflect your tastes? Crate and Barrel Pottery Barn West Elm Ikea Room and Board CB2 Ethan Allen HomeGoods Ballard Designs Restoration Hardware Anthropologie Flea Markets Antique Shops Unsure Other (please specify) Question Title * 24. Describe how you want your place to feel in 3 words. 1. 2. 3. Question Title * 25. Which colors/tones do you prefer? reds oranges yellows greens blues purples beiges/browns grays/blacks creams/whites pastels (pink, pale yellow, baby blue, etc.) jewel tones (navys, burgundys, emerald, ochre, etc.) bright tones (cherry red, sun yellow, royal blue, etc.) Question Title * 26. Which colors/tones do you not like? reds oranges yellows greens blues purples beiges/browns grays/blacks creams/whites pastels (pink, pale yellow, baby blue, etc.) jewel tones (navys, burgundys, emerald, ochre, etc.) bright tones (cherry red, sun yellow, royal blue, etc.) Question Title * 27. In which range is your budget for the new items for the space(s)? (You can get more specific and give your designer an exact amount during your session. This is just to get you thinking about your budget.) a figure under $3,000 a figure between $3,000-$6,000 a figure between $6,000-$9,000 a figure between $9,000-$12,000 a figure between $12,000-$15,000 a figure between $15,000-$20,000 a figure between $20,000-$30,000 a figure between $30,000-$40,000 a figure between $40,000-$50,000 a figure above $50,000 Other (please specify) Question Title * 28. Inspiration images are important tools that help us tailor our designs to your tastes. Please go to our Inspiration Gallery (affordableinteriordesign.com/inspiration-gallery), Houzz.com, or another site of your choice. You can also insert link(s) to your Pinterest board(s).Select 4 or more images of spaces that show the look you are hoping to achieve. Paste the links below. Image #1, Paste the link here. What do you like about the image? Image #2, Paste the link here. What do you like about the image? Image #3, Paste the link here. What do you like about the image? Image #4, Paste the link here. What do you like about the image? Image #5, Paste the link here. What do you like about the image? Image #6, Paste the link here. What do you like about the image? Image #7, Paste the link here. What do you like about the image? Image #8, Paste the link here. What do you like about the image? Question Title * 29. I understand that if I or a member of my household is sick, I will let Uploft know asap so that I can be rescheduled. If I don't notify Uploft prior to my appointment, my designer will leave immediately, and there will be a $100 inconvenience fee charged. Yes, I understand. Page1 / 1 100% of survey complete. Submit
