Lifestyle Questionnaire Please enable JavaScript in your browser to complete this form.First Name *Last Name *Home PhoneCell Phone *Email *Preferred Method of Contact: *Cell PhoneHome PhoneTextEmailDo you have a referral name to share?Have you worked with an Interior Designer before?YesNoStreet Address *How did you hear about us?Friend/FamilyGoogleHouzzFacebookInstagramTwitterNext DoorOtherIf Other:What is the current state of your design project? *RemodelNew Home ConstructionFurnitureAre you planning to complete the project all at once? *Yes, all at onceNo, in phasesWhat 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 HOMEWhen would you like this project to begin? *mm/dd/yyProject Square Footage? *What is your time frame for completion of your design project? * 1 - 6 months6 months - 1 year1+ yearsWhat room(s) take first priority in your design project? (Please list in order of importance)What are your design dilemmas, if any?List of furnishings you plan to keep in these rooms, if any:Family Details - Select all applicable occupants of your home:Spouse/Significant OtherChildrenPetsWhat is your age range?20-2930-3940-4950-5960+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.How long have you lived in your home?1-3 Years3-5 Years5-7 Years7-10 Years10+ YearsWhat type of home do you live in?Single FamilyMulti-FamilyCondominiumTownhouseApartmentLoftHigh RiseOtherIf Other:Do you have a floorplan for your home?YesNoDo you entertain?YesNoWhat overall mood would you like to create?FormalClassicTimelessSophisticatedElegantLively / BrightCool / UnderstatedCozy / Lived InCasualCountryWelcomingRomanticContemporaryIndustrialModernTransitionalOtherIf Other:Which of the following might interest you?FlooringCabinetryCountertopsWood FurnitureLightingUpholsteryBed FramesBedroom LinensDraperiesPillowsTextilesArea RugsWall DecorMirrorsScreensWallpaperFaux PaintingAccessoriesOtherIf Other:What colors 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 / BeigeNeutral GrayWhite / CreamBlackPastelsBrightsSpecific ColorList your favorite colors:List your LEAST favorite colors:Do you prefer fabrics with pattern or texture?YesNoAre there patterns or fabrics you prefer?LeatherSolidVelvetSilkSatinCottonLinenChenilleStripesPaisleyFloralDamaskTapestryPlaidAbstractGeometricTexturedSmall PatternsLarge PatternsBold PatternsSubtle PatternsPlease list any special hobbies or interests that you have. (If applicable)Do you travel often?YesNoWhat do you LIKE most about your home?What do you DISLIKE most about your home?Do you lack storage in your home?YesNoWhich of the following do you require of window treatments?PrivacyDecorative OnlyLight ControlBlack OutBlackPastelsBrightsSpecific ColorOtherIf Specific Color or Other:Which of the following do you prefer?BlindsShuttersSoft ShadesSheersDraperiesOtherIf Other:Do you have a wish list? If so, please share it with us:What else should Complements Home Interiors know about your lifestyle needs? Please explain.Additional comments and/or visions to share: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. Chi 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! Submit