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Client Profile

If you have scheduled a initial consultation please fill out the client profile and press submit.


Name(s):       

Address:        

City, State, Zip:  

Home phone:     

Alternate phone:

Email address:  

Where did you find out about PURE Inspired Design?

Google    Yellow Pages    Dex Online   Spaces Magazine Other    

 

Number of children:        Children's ages:       Pets: 

What aspects of GREEN Design are important to you?  Check all that apply.

Organic    Non-toxic    Sustainability   Natural fibers    Made in the USA 
Rapidly renewable Recycled and Reclaimed     Efficiency

Which rooms require an interior designer?  Make a prioritized list and add any comment below.

What is your approximate budget? 

$1000 - $3000    $3000 - $5000     $5000 - $7000     $7000 - $10,000
$10,000 - $15,000
$15,000 - $20,000 more than $20,000 Unsure

Budget Comments:

 What is the extent of the project?  Check all that apply.

Total Redo    Clean Slate    Pull Together    Accents Only    Paint Color
Window Treatments New Furniture Unsure

Project Comments:

What is your decorating style?  Check all that apply.

Eclectic    Traditional   Modern/Contemporary    Transitional    Country
International    Romantic Minimalist    Rustic    Other  

Style Comments:

Do you have a color scheme in mind?  Describe below:

What type of fabrics do you like?  Check all that apply.

Cotton    Chenille   Silk    Leather    Synthetic   Microfiber 
Linen    Fabric Protected Durable    Other  

Comments on fabric:

What patterns do you like?  Check all that apply.

Bold    Restrained Floral   Abstract    Plaids    Tone on Tone Stripes
Tweeds    Toile Damask    Animal Prints    Contemporary   Other 

Comments on patterns:

What mood or feeling do you want your home to possess?  Check all that apply.

Tranquil    Exciting  Cozy    Warm    Intimate   Elegant   
Bright and Cheerful    Airy Sophisticated    Uncluttered    Formal
Casual    Relaxed    Between Relaxed and Formal  Other

Comments on mood or feeling:

Additional Comments on the interior Design project:

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