Let’s Work Together Name * First Name Last Name Email * Phone number * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country What service are you inquiring? * Consultation Package A Package B Package C Package D What area(s) are you inquiring about? * Entry/Mudroom Hallway/Nook Primary Bedroom Guest Bedroom Nursery Childrens/Teen Bedroom Basement Primary Bathroom Guest Bathroom Powder Room Living Room Kitchen Dining Room Home Office Home Gym Outdoor Space Other Do you own or rent? * Own Rent Are you open to doing cosmetic work? * Yes No What is your overall budget? * Please keep in mind this includes my rates, all items to purchase and any cosmetic work Up to 1k 1k-5k 5k-10k 10k-15k 15k-20k 20k+ Are there any pieces of furniture you would like incorporated? * It is not guaranteed that all items will be included in the final design Yes No How would you describe your design style? * Ideal start date: * MM DD YYYY Ideal completion date: * MM DD YYYY How did you hear about me? Additional notes: Thank you!
