First Name* Last Name* Home Phone*Cell Phone*Email Address* Preferred Method of Contact* Cell Phone Home Phone Text Message Email Have you worked with an interior designer before?* Yes No Street Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How did you hear about us?* FRIEND/FAMILY GOOGLE HOUZZ FACEBOOK INSTAGRAM TWITTER NEXTDOOR OTHER If Other: What is the current state of your design project?* REMODEL NEW HOME CONSTRUCTION FURNITURE Are you planning to complete this project all at once or in phases?* All at once In phases What is your project investment? (Think in terms of necessary construction, new furnishings and finishes, painting,etc.)* $100-$250K $250-$500K $500K-$1,000,000 $1,000,000+ BUILDING A NEW HOME When would you like this project to begin?* MM slash DD slash YYYY What is your time frame for completion of your design project? 1 - 6 months 6 months - 1 year 1+ years What room(s) take first priority in your design project? (Please list in order of importance)Project Square Footage? What are your design dilemmas, if any?List of furnishings you plan to keep in these rooms, if any:Family Detail - About YouSelect all applicable occupants of your home: Spouse/Significant Other Children Pets Number of children and ages? Type of pets? What is your age range? 20-29 30-39 40-49 50-59 60+ Special Requirements / Needs (if applicable) - IF YOU HAVE ANY SPACIAL REQUIREMENTS OR NEEDS THAT NEED TO BE CONSIDERED IN THE DESIGN OF YOUR HOME, PLEASE TELL US ABOUT THEM HERE.LifestyleHow long have you lived in your home? 1-3 Years 3-5 Years 5-7 Years 7-10 Years 10+ Years What type of home do you live in? Single Family Multi-Family Condominium Townhouse Apartment Loft High Rise Other Do you have a floorplan for your home? Yes No Do you entertain? Yes No How often? Once per week Once per month Once per quarter A couple of times per year Entertaining Style? Formal Informal Combination of Both Which best describes your style? I need help finding my design style! Casual Traditional Formal French Country Country Southwestern Rustic Eclectic Contemporary Modern Transitional Other If Other: What overall mood would you like to create? Formal Classic Timeless Sophisticated Elegant Lively / Bright Cool / Understated Cozy / Lived In Casual Country Welcoming Romantic Contemporary Industrial Modern Transitional Other (Mark all that apply)If Other: Which of the following might interest you? Flooring Cabinetry Countertops Wood Furniture Lighting Upholstery Bed Frames Bedroom Linens Draperies Pillows Textiles Area Rugs Wall Decor Mirrors Screens Wallpaper Faux Painting Accessories Other (Mark all that apply)If Other: What color do you prefer? Warm Colors (red-purple, red, orange-red, orange, yellow-orange, yellow) Cool Colors (yellow-green, green, blue-green, blue, blue-purple, purple) Neutral / Beige Neutral Gray White / Cream Black Pastels Brights Specific Color List your favorite colors:List your LEAST favorite colors:Do you prefer fabrics with pattern or texture? Yes No Are there patterns or fabrics you prefer? Leather Solid Velvet Silk Satin Cotton Linen Chenille Stripes Paisley Floral Damask Tapestry Plaid Abstract Geometric Textured Small Patterns Large Patterns Bold Patterns Subtle Patterns (Mark all that apply)Please list any special hobbies or interests that you have. (If applicable)Do you travel often? Yes No Do you collect items on your travel you would like displayed in your home? Yes No Tell us about any collections you would like to showcase and their display requirements, if any.What do you LIKE most about your home?What do you DISLIKE most about your home?Do you lack storage in your home? Yes No Which of the following do you require of window treatments? Privacy Decorative Only Light Control Black Out Black Pastels Brights Specific Color Other (Mark all that apply)If Other: Which of the following do you prefer? Blinds Shutters Soft Shades Sheers Draperies Other (Mark all that apply)Do you have a wish list? If so, please share it with us:What else should Urbane Design know about your lifestyle needs? Please explain.Design Project During the initial consultation, we will walk through each room to be designed and create a master plan per room. We will work with you to establish priorities, investment and timeline. Urbane Design offers exclusive and flexible plans working towards the completion of your design project. We understand that few people have the opportunity to design their entire home at once, so we are able to break your project down room by room; focusing on rooms that take priority over others and work within a time frame set by you! We work with you to turn your design dreams into elegant reality, within your budget, time frame and for your unique lifestyle needs! Additional comments and/or visions to share:PhoneThis field is for validation purposes and should be left unchanged.
