Please take a few moments to tell us a little more about yourself and what you are looking for so that we may better understand your project and design preferences. VIP Day Information Form Step 1 of 3 33% Client Information FormPlease take a few moments to tell us a little more about yourself and what you are looking for so that we may better understand your project and design preferences.Potential Client Name* First Last Significant Other's Name First Last Current Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Project Address (if different from current address) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* How did you hear about us?*Home & DesignAngie's ListOtherIf "Other," please share how you heard about us.Preferred Contact Method*EmailPhone VIP Day LunchFor VIP Day, our designer will bring lunch. Lunch will typically include some sandwiches, sides and drinks. Please provide us some guidance as to your food preferences and aversions as well as any allergies we need to be aware of.Sandwich preferences:Chips/Side Salad preferences:Food aversions:Food allergies:PrioritiesIn order for us to understand your design needs, please complete the questions below to the best of your knowledge. If anything is not applicable to your project or you do not know the answer, you may leave it blank. This information will help us understand your needs for your home and will guide our discussion around how to structure our time together.What room(s) are you seeking assistance with?* Entry/Foyer Kitchen Master Bedroom Master Bathroom Family/Great Room Hall Bathroom Office/Study Nook Laundry Area Bedroom #2 Bedroom #3 Bedroom #4 Formal Living Room Formal Dining Room Home Theater/Media Room Outdoor Kitchen Outdoor Living Area Other (please add below) If other room (not listed above), please share here:Which room/area is your FIRST priority?*Entry/FoyerKitchenMaster BedroomMaster BathroomFamily/Great RoomHall BathroomOffice/StudyNookLaundry AreaBedroom #2Bedroom #3Bedroom #4Formal Living RoomFormal Dining RoomHome Theater/Media RoomOutdoor KitchenOutdoor Living AreaOther (please add below)Please share details on your 1st Priority area:*If multiple rooms, which room is your SECOND priority?Entry/FoyerKitchenMaster BedroomMaster BathroomFamily/Great RoomHall BathroomOffice/StudyNookLaundry AreaBedroom #2Bedroom #3Bedroom #4Formal Living RoomFormal Dining RoomHome Theater/Media RoomOutdoor KitchenOutdoor Living AreaOther (please add below)Please share details on your 2nd Priority area:If multiple rooms, which room is your THIRD priority?Entry/FoyerKitchenMaster BedroomMaster BathroomFamily/Great RoomHall BathroomOffice/StudyNookLaundry AreaBedroom #2Bedroom #3Bedroom #4Formal Living RoomFormal Dining RoomHome Theater/Media RoomOutdoor KitchenOutdoor Living AreaOther (please add below)Please share details on your 3rd Priority area:Please share details on any other areas you would like to address:What are the most important things you would like for us to accomplish in our time together? Please list them in order of importance.*Are there any pieces that must stay, and be worked into the new plan?*Are there any items that MUST go? Please give specifics.*Have you already done any work in the space?*YesNoIf yes, what?What local/online retail stores do you typically shop/window shop?*What is the budget for your project?*$5,000 to $10,000$10,000 to $30,000$30,000 to $60,000$60,000 to $90,000$90,000 to $150,000$150,000 to $200,000Other (specify below)Other (Budget): Design PreferencesWhat "feeling" are you seeking to achieve?* Casual Formal Spacious Warm/ Cozy Light/ Airy Elegant Sophisticated Welcoming Romantic Contemporary “Lived In” Other (please indicate below) If Other feeling, please share below:What style are you seeking to achieve?* Mid-Century Modern Contemporary French Country Mission Style Updated Traditional Country Cottage Asian Southwestern Transitional Art Deco Minimalist Industrial Other (indicate below) If Other style, please share below:Do yours and your partner's style preferences agree?YesNoSelect from the following to describe your preference in color (mark all that apply):* Warm Colors Whites Oranges Yellows Grays Cool Colors Blacks Reds Pinks Purples Earth Tones Blues Aquas Greens Teals Jewel Tones Tans Beiges Neutrals Bright Burgundies Subtle Other (indicate below) If Other color/color group, please share below:Are there any colors you dislike? If so, what color(s):*Do you have a color theme in mind?YesNoIf yes, what color(s)?If applicable, what types of flooring do you prefer?* Natural Stone Hardwood Carpet Laminate Combination Bamboo Concrete Tile Cork Other (indicate below) If Other flooring, please share here:Are you in need of window treatments? If applicable, what types of window treatments do you prefer? Custom Draperies Blinds Sheers Valances Room Darkening Shutters Curtains Cornices Natural Materials Shades Swags Other (please indicate below) If Other window treatment, please share below:Do you need sun control or privacy with your window treatments?YesNoThank you for completing our information form!