New Client Questionnaire New Client Questionnaire Lea Placek Interiors: New Client QuestionnaireFirst Name Last Name AddressAddress Line 1 City State Zip Code Phone/Mobile Email Best time of day to contact & preferred contact method Who will be residing in the home? (Please include any pets) Background InformationHow did you hear about Lea Placek Interiors? Why do you want to hire an interior designer for your project? Have you worked with an interior designer before? Yes NoHow was your experience with the other designer? Design QuestionsHow would you describe your residence? Apartment Condo House - under 5,000 sq. ft. House - over 5,000 sq. ft. OtherPlease describe What rooms of the house will we be designing? Bedrooms Bathrooms Kitchen Dining Room Living Room or Family Room Outdoor Living Office or Den Laundry Room / Mudroom OtherFor "other," please describe: What would you consider your design style to be? Coastal Contemporary Nautical/Beachy Modern Glam Rustic Traditional Industrial Transitional Farmhouse / Modern farmhouse Eclectic Mid-Century Modern Not Sure / OtherFor Not Sure / Other, please describe the best you can: What color palette are you drawn to in the home? What is your timeline for this project to be completed? ASAP! Let's start tomorrow Within a month 3-6 months 6 months to a year We are just in the planning processHow involved do you wish to be in the project? FULLY INVOLVED - Please hold my hand through this project, as I need design help and guidance. I would love to be involved in selections and decision making throughout the process, as allowable. SOMEWHAT INVOLVED - I would love your guidance with decision making. I have ideas but I need help pulling everything together and am excited to collaborate my vision with a professional designer. MINIMALLY INVOLVED - You are the professional. I trust you with the entire project. Please handle everything from the selections, designs, floor plans, ordering, receiving and installing of the room designs. E-DESIGN - I would love to implement your design ideas after I provide you with room dimensions and images and/or my concept ideas and you provide me with a mood board/shopping list. DIY-er - I would love to reserve a block of designer hours with you and collaborate as needed and/or bounce ideas off you.Your ProjectWill we be repurposing a room from one function to another? Yes NoPlease explain: Who uses this room, and what are their activities in this space? (Please answer for each space) How much are you willing to invest in your home project? Less than $5,000 - May include new furnishings and decor while also incorporating existing pieces from the home. $5,000-$10,000 - Basic room design refresh - May include some new furnishings and decor while also incorporating existing pieces from the home. Basic design services. $10,000-$20,000 - Full room redesign refresh - Mostly new furniture and decor, paint, light trim work, light electrical, and window treatments. Full design services. $20,000+ - Full large/extra large room refresh - May include minor remodel/accessorize/install. Full luxury design services. $40,000+ - Multiple room refresh or full service room refresh, bath remodel. Full luxury design services. $75,000+ - Major remodel/renovation, custom kitchen or bath remodel. Full luxury design services.What do you like about your room? Is there something you want to draw attention to or show off? What do you not like about your room? Is there something you want to cover up or hide? If you live with someone else, do you need to consult with them to make decisions. (If so, now is the time to decide how you will handle this during the design process.) Yes NoIf yes, who? Are there any special needs to consider? (Disabilities, allergies, etc.) Yes NoIf yes, please explain: Do you entertain a lot? If so, what kind of entertaining do you do? (Please mark N/A if not applicable to the room.) Will we be reusing or repurposing any existing furniture art, accessories, etc.? Yes NoPlease explain any pieces we will be reusing: Please upload images of pieces we will be reusing, or please submit them via email to Lea@Leaplacekinteriors.com Choose File(s) What design elements do you love? (Examples: neutral colors, wood tones, mixed metals, vintage rugs, etc.) What design elements do you hate? (Examples: bright colors, shag rugs, wicker furniture, zebra print fabrics, floral wallpaper, etc.) Do you want window treatments in this room? Yes, with maximum light reduction (For instance, black-out curtains are often nice for bedrooms when you'd like to sleep in.) Yes, with medium light reduction (light filtering is the most common type of window treatment) Yes, with minimal light reduction (Privacy is not a large concern in this room - this is best for public spaces like living rooms, dining rooms, kitchens, etc. It is not recommended for bedrooms or large bathroom windows.) No, I do not need window treatments. (If you select this option, please consider that your furniture will last a lot longer if you have window treatments that can close to protect your furnishings.)What type of art do you like? Abstract/Organic Geometric Watercolor Photography OtherIf other, please describe: If you have any artists or images that you like or are inspired by, please upload or submit them via email to Lea@Leaplacekinteriors.com Choose File You're almost done...What are you looking to get out of this experience? Is there anything else you would like me to know before we get started? Please share the links to any Pinterest boards you have created to inspire this project. Please upload any additional images that inspire this project. Choose File Submit Form
