E-Design Questionnaire

Name *

Email Address *

Where is your home? *
---ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYN/A

How did you hear about us?
---BlogGoogleInstagramReferralPinterestOther

What space(s) would you like for us to design? *

Provide overall measurements for the rooms listed above. *

Please list any furniture you would like to incorporate into the design (existing or new).

Would you be willing to paint the walls? *
YesNo

What is your design style? * (Check all that apply)
Modern EclecticTransitionalFarmhouseTraditionalCoastalAsianMid-Century ModernFrenchBohemian

Is there anything you specifically do NOT want to see in the design?

Do you need the space to be kid/pet friendly? *
Kid friendlyPet FriendlyBothNone

Are you willing to purchase products online? *
YesNo

Do you give me permission to use photos your room, the design and documentation of the process on our blog and/or other social media outlets? *
YesNo

What is your total budget for the space(s) listed above (designer fee not included)? *
---- $2,000$2,000 - $5,000$5,000 - $10,000$10,000 - $15,000$15,000 - $20,000$20,000 - $25,000$25,000 - $30,000$30,000+

Please include a link to your Pinterest inspiration board if you have one. This gives me great insight into your style.

Please upload photos of the space to be designed (include photos at all angles and in daylight). Additional photos and/or files that exceed 2MB can be emailed directly to leftandlevel@gmail.com.

If you have any additional information you feel would be helpful, please let us know.

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