Name
*
First Name
Last Name
Email Address
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone Number
*
How would you prefer to be contacted? Check all that apply.
Project Address (Leave blank if same as contact info)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How long have you lived in your home?
How long do you plan on staying in your home?
Are you the primary decision maker?
*
Yes
No
Is there anything you already love about your home?
Please list rooms you would like to work on, and how each room is used.
Example:
Bedroom: Sleeping, morning makeup, and watching TV.
Kitchen: Eating lots of cooking, entertaining large groups
Who lives in your home? List their name, needs and age if applicable. Please include any pets as well.
Example;
Joanna, Mom: Needs space to relax, and extra office space.
Kyle, 9 years old: Needs room to work on homework and play with friends.
Buttercup, 5 year old yorkie. Needs furniture and rugs to be pet friendly.
What are your design goals? Check all that apply
What is your preferred time frame?
Have you worked with an interior designer before? If so, how was the experience?
What kind of assistance are you looking for from Modern Era Design?
*
Styling
Renovation and Styling
New Construction
New Construction and Styling
How involved do you want to be in the project?
*
What have you allocated as total funds for your interior design services and furnishings?
*
Under 45k
45k-100k
100k-250k
250k-500k
500k or over
Is there anything else we should know?
