Design Questionnaire [Pre-First Date]

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

How would you describe your style?

Check all that apply

Mid-Century Modern

Southwestern

Bohemian

Traditional

Coastal

Traditional - Formal

Traditional - Informal

Transitional

Eclectic

Farmhouse

Rustic

Industrial

Hollywood Glam

Other

Are you drawn to any of these?

Select all that apply

Bold Color

Geometric Patterns

Botanicals

Floral Prints

Abstract Art

Pastel Color

Jewel Tones

Trends

Dog Portraits or Cats Playing Poker ;)

Whites/Linens/Textures

Which metal finish do you prefer?

Select all that apply

Brushed Nickel

Polished Chrome

Polished Brass

Unlacquered Brass

Oil Rubbed Bronze

Black

I love mixing!

Other

Where do you eat daily?

Dining room table

Kitchen table

Island counter

Couch

Wherever I can

Other