Lifestyle Questionnaire

First Name *

Last Name *

Home Phone

Cell Phone *

Email *

Preferred Method of Contact: *

Cell Phone
Home Phone
Text
Email

Do you have a referral name to share?

Have you worked with an Interior Designer before?

Yes
No

Street Address *

How did you hear about us?

If Other:

What is the current state of your design project? *

Remodel
New Home Construction
Furniture

Are you planning to complete the project all at once? *

Yes, all at once
No, in phases

What is your project investment? (Think in terms of necessary construction, new furnishings and finishes, painting,etc.)

When would you like this project to begin? *

mm/dd/yy

Project Square Footage? *

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)

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 Other
Children
Pets

What is your age range?

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?

What type of home do you live in?

If Other:

Do you have a floorplan for your home?

Yes
No

Do you entertain?

Yes
No

What overall mood would you like to create?

If Other:

Which of the following might interest you?

If Other:

What colors do you prefer?

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?

Please list any special hobbies or interests that you have. (If applicable)

Do you travel often?

Yes
No

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?

If Specific Color or Other:

Which of the following do you prefer?

If 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!