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Lifestyle Questionnaire

Name *

Address *

City *

State *

ZIP Code *

Phone *

Lifestyle

Please list all family members. Include children, their ages, and any pets. *

List any hobbies you or anyone in your family is involved in. *

Describe how you like to entertain. Large groups? Small and intimate? *

Design Project

Check off the room or rooms you would like to have designed.

Living Room

Dining Room

Master bedroom

Family Room

Kids Bedroom

Kids Playroom

Guest Room

Powder Room

Bathroom

Lower Level / Media Room / Basement

Office

Are there any other rooms, not included on the above list?

Is this project a renovation? *

Yes

Please briefly describe the project *

Desired completion date *

Month

Day

Year

Describe your existing home furnishings you are planning including in the room *

What item in the room would you like to use as inspiration? *

Describe the mood you would like to create in the room or rooms we will be designing. Please use as many words that apply. *

ELEGANT

FORMAL

ROMANTIC

TRADITIONAL

INFORMAL

COUNTRY

COZY

CASUAL

CONTEMPORARY

INDESTRUCTIBLE

LIVED IN

WELCOMING

SOFT

BUSY

MODERN

OPEN

Please check off what your specific needs are for each room *

CASE-GOOD/ WOOD PIECES

UPHOLSTERY

AREA RUG

ACCESSORIES

WINDOW TREATMENTS

LIGHTING

WALLPAPER

BED COVERINGS

CARPETING

Colors and Fabrics

Colors *

BLACK

WHITE

BLUE

GRAY

BROWN

GOLD

YELLOW

RED

RUST

PINK

PURPLE

TEAL

MINERAL BLUE

SAGE

GREEN

Describe the tones you prefer *

PASTELS

JEWEL TONES

BRIGHT

SUBTLE

COOL

WARM

EARTH

NEUTRAL

What is your pattern and fabric preference? *

BOLD

SOLID

STRIPE

SMALL PRINT

PLAID

GEOMETRIC

FLORAL

VELVET

SATIN

SILK

TEXTURED

DAMASK

LEATHER

ANIMAL PRINTS

Planning and Budget

What are you planning on budgeting for this project *

Notes

Thank you for taking the time to complete our questionnaire. We look forward to working with you and creating a space that is unique, just like you.

Lifestyle Questionnaire

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Lifestyle Questionnaire

Follow Us

Menu

Recent Articles

Mixing it up!

How to make a reclaimed wood accent wall: Design Group of Philadelphia has it in the works!