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Part 1: Personal

1. Name*
2. Address*
3. Phone*
4. Email*

5. Preferred Method of Contact*

   1. Phone
   2. Email
   3. SMS
6. Children (gender/age)
7. Pets
8. Next

Part 2: Dwelling

1. Type of Dwelling*

   1. House
   2. Town House
   3. Apartment/Unit
   4. Office/Retail
   5. Other
2. Construction
3. Age
4. Next

Part 3: Lifestyle

1. How often do you:	Never	Sometimes	Frequently
   Entertain friends or family casually?
   Hold dinner parties?
   Have TV/DVD nights?
   Entertain other than meal times?
   Work at home?

2. Do you have any indoor activities or hobbies that may have specific design or space requirements?
   
3. Next

Part 4: Design

Please tick any of the following statements that apply to you:

1. I know what I like but I can't visualise it in my home.
2. I have started decorating my home but I need a second opinion.
3. I want to modify my home but I don't know where to start.
4. I have a collection of design images from books and magazines that I love.
5. I need advice about what will suit my home and lifestyle.
6. I'm confused and can't work out what I like.
7. I have existing furniture or artwork that needs to be incorporated into a new design concept.
8. Next

Part 5: Vision

Please tick any of following the phrases that appeal to you:

1. Look

   1. Classic
   2. Glam
   3. Modern
   4. Mix of old & new
   5. Sophisticated
   6. Oriental influence
   7. Retro
   8. Elegant
   9. Dramatic
   10. Other (please specify)
       

2. Feel

   1. fun
   2. vibrant
   3. Warm
   4. Inviting
   5. Tranquil
   6. Relaxing
   7. Other (please specify)
      

3. Colours

   1. Bright
   2. Browns
   3. Whites
   4. Neutrals
   5. Natural
   6. Favourite colours (please specify)
      
   7. Least favourite colours (please specify)
      

4. Patterns

   1. Stripes
   2. Florals
   3. Geometric
   4. Plain
   5. Bold
   6. Texture
   7. Other (please specify)
      

5. Timeframe

   1. ASAP
   2. 6 weeks
   3. 3 months
   4. 6 months
   5. Other (please specify)

6. Next

Part 6: Submit

1. Choose the service(s) you require*
   See our services for more information

   1. Total Interior Design scheme
   2. Furniture design
   3. Shopping service
   4. Furniture layout
   5. Drawings
   6. Window furnishings or soft furnishing selection
   7. Colour consultation

2. Do you have a budget in mind?*

   1. yes
      1. Please specify*:
      2. Under $5,000
      3. $5,000 - $10,000
      4. $10,000 - $15,000
      5. Above $15,000
   2. no
3. How did you hear about us?
   
4. Additional comments