New Client Questionnaire

Please take a few moments to complete the information requested below.

Brief answers are fine. Use the back of these sheets if you would like to provide more information. Involve your entire household. Have fun telling us about your wants and needs. We would like to take full advantage of the time we share together and your input is essential.

Thank you for your cooperation. All information will be kept confidential.






    PRIMARY CONTACT INFORMATION:

    Address:
    City:
    CONTACT #1:

    Name:
    Day Phone:
    Evening Phone:
    Cell:
    E-Mail:

    CONTACT #2:

    Name:
    Day Phone:
    Evening Phone:
    Cell:
    E-Mail:

    How would you prefer to be contacted? (Check all that apply)

    Part I: HOUSEHOLD INFORMATION

    House square footage:
    Age of house:
    # Bedrooms:
    # Baths:
    What is your expected move-in date and how long do you plan to live in your home?
    Household Members:
    Please provide us with the names of the members of your household and what needs they have for space, work, study or special needs. Please include ages of each child.
    Name Work, Study, Space, Special Needs Birthday
    Do you anticipate changes for any Household Members: (i.e. College, retirement, etc.) within the next 2-3 years? (Please explain)
    Do you have pets in household? Please list type, age, special needs:
    Special Considerations – Check any that apply:
    Disabled, elderly or young children in the home?Are occupants daytime sleepers?

    LIFESTYLE

    ENTERTAINING:

    Our entertaining style is:
    FormalInformalCombination or both

    We entertain:
    1-2 times/week1-2 times/month1-2 times/year

    Average # guests:
    1 – 67 – 12More than 12

    Average guests ages:
    AdultsTeenagersChildrenAll ages

    Entertaining Type:

    MAINTENANCE:
    HOBBIES:

    Do the household members share common time around the home together?
    YesNo

    If yes, is an area needed to accommodate you?
    YesNo

    Explain:

    Do you have any collections?
    YesNo

    If yes, please list

    Are any collections on display?
    YesNo

    If you circled yes, would you like to display your collection? Where?

    Hobbies:
    ReadingT.V. / Home TheaterCrafts/ SewingEntertainingMusicSportsCooking

    What are your technical needs?
    xxxxxxx

    Are you looking to create a children’s play area?
    YesNo

    LIGHTING:

    Is additional lighting needed?
    YesNo

    If yes, locations:
    BathroomOfficeLiving RoomBedroomsKitchen/nookOther

    STORAGE:

    Multipurpose FurnitureHidden Storage (for clutter issues) Closet Storage/ Organizers

    VACATION TIME:

    We stay at home for our rest/relaxation:
    All the timeSome of the timeRarely

    We travel for our vacations:
    All the timeSome of the timeRarely

    PRIMARY CONTACT INFORMATION:

    Person(s) responsible for project decisions:

    What is the budget for your project?

    What is the estimated time of completion?

    Will there be a project manager on-site for deliveries and accessibility?
    YesNo

    Priorities:

    Please “X” the rooms to be included in the project.
    Entry Hall / FoyerFormal Living RoomFormal Dining RoomFamily / Great RoomKitchenNookOffice/StudyLaundry AreaMasterBedroomMasterBathroomHallBathroomGuestBathroomBedroomsSpaHome Theater/Media RoomOutdoorKitchenOutdoor Living AreaOther

    If the project will be done in stages, please indicate the order of the work by writing a number in the box to show the order

    What kind of enhancements are you considering? (Please check all that apply)
    FurnitureFlooringReupholsteryBlocking PlanWindow TreatmentsArt and accessory planWindow replacements or changesArtwork, mirrors, etc.AppliancesInterior paintAccentsPlumbing fixturesExterior paintSpace planningRoom additionWallpaperMuralsLightingWall finishesColor scheme/ PaintFinish plan

    What is your favorite room in the house? Why?

    What don’t you like about your current home? Why?

    What part of your house do you use the most?

    What part of your house do you use the least?

    Are there any pieces of furniture or floor coverings that are from your previous house and must be worked into the new plan? Please explain:

    How involved do you wish to be in this project: (Please check)
    Very involved (Call you with details and updates daily or weekly)Involved – KPSID to act as project manager (Keep you updated with install dates, deliveries, work schedule etc.)Minimally involved – don’t call until everything is ready to installOther

    What is your “ideal” timeline for your project?
    Within 3 months3 – 6 monthsOther

    PART III DESIGN PREFERENCES

    Design Goals:

    Prioritize the following personal design goals for your home from 1-3

    1. I am interested in achieving a more stylish/beautiful appearance for my home
    2. I want my home to function more effectively for my household.
    3. I want my home to better reflect our personal tastes.

    Other:

    Would you like to include “green products” when possible?
    YesNo

    What do you mean?

    What “feeling” are you seeking to achieve?
    CasualFormalSpaciousClean linesWarm/ cozyLight/airyElegantSophisticated“Lived in”WelcomingRomanticContemporary

    What style are you seeking to achieve?
    French RevivalMediterraneanFrench ChateauItalianateSpanish RevivalCountry CottageAsianSouthwesternOld WorldArt DecoModernTransitionalVenetian Revival

    Do you and your partner’s style preferences agree?
    YesNo

    Comments:

    The following questions are designed to provide us with a general description of your likes and dislikes regarding your personal style:

    Select from the following to describe your preference in fabric:
    (Check all that apply)
    LapisStripeDamaskToileSilkSheerLeatherBold patternSuedeVelvetSubtle patternSatinCotton

    Preferences of Color: (Check all that apply)
    WhitesOrangesBluesPastelsBlacksRedsJewel TonesGraysBurgundiesNavy BlueNeutralsBeigesPinksPowder BlueEarth TonesTansAquasWarm ColorsPale YellowsEggplantMint GreensCool ColorsYellowsLavendersOlive GreensSubtlePeachPurplesForest GreensBrightBoldGreensTeals

    Colors you dislike?

    Do you have a color theme in mind? Please Describe:

    Are there types of flooring you prefer? (Please check all that apply)
    HardwoodCarpetWoodTravertinePorcelain TileBambooMarble

    Are there types of window treatment you prefer? (Please check all that apply)
    Custom DraperiesBlindsSheersShuttersRoom DarkeningCurtainsAll FabricsNatural MaterialsMetalShadesCombinationOther

    Do you need sun control or privacy with your window treatments?
    YesNo

    Additional information regarding preferences:

    Have you ever hired an interior designer before?
    YesNo

    If yes, when did this take place, and were you pleased with the experience and the results: