NEW PROJECT INQUIRY QUESTIONNAIRE
Please take a few moments to complete the information requested below. Your input is essential to making this project fit your needs and desires and to make the end result safe, functional and aesthetically pleasing for your family. All information will be kept confidential. We appreciate your cooperation.
Date
1
How did you hear about MBW Designs?
Referral from client
Referral from contractor
Referral from architect
Online search engine
Houzz profile
Pinterest
Facebook
Other:
Primary Contact (Project Decision Maker)
Email
(to which all project information will be sent)
Cell
Alternate Phone
Project Location Address
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestina
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Kitts & Nevis
St Lucia
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Other
Secondary Contact
Cell
Email
5
Preferred Method of Contact (check all that apply):
Home Phone
Cell
Email
Text
Other:
2
What type project are you planning?
Residential
Commercial
Retail
Hospitality/Restaurant
Staging
Model Home
Other:
1
Which best describes your project?
New Construction
Renovation/Remodeling or Restoration
Styling/Decorating
Other:
Do you rent or own?
Rent
Own
Type of Dwelling
Single Family House
Brownstone/Townhome
Condo
Apartment
Commercial
1
What is the age of your home?
New Construction < 1 year
1-10 years
11-20 years
21+ years
1
How long have you lived in your home?
Have not moved in yet
Less than 1 year
2-5 years
6-10 years
11-20 years
20+ years
Will this project be completed all at once or in phases?
All At Once
Phases
When are you planning to begin this project?
1-2 weeks
1 month
2-6 months
6 months - 1 year
Desired Project Completion Date
19
What rooms will be included in this project? (check all that apply)
Whole House
Entry/Foyer
Formal Living
Formal Dining
Family/Great Room
Kitchen
Office/Study
Mudroom/Laundry
Master Bedroom
Master Bathroom
Hall Bathroom
Powder Room
Bedroom #2
Bedroom #3
Bedroom #4
Home Theater/Media Room
Outdoor Living Area
Outdoor Kitchen
Basement
Other:
What enhancements are you considering for your home? (check all that apply)
Furniture
Flooring
Kitchen Remodel
Appliances
Bathroom Remodel
Space Planning
Wallcoverings
Window Treatments
Window Replacement
Artwork/Wall Decor
Accessories
Reupholstery
Plumbing Fixtures
Lighting
Murals
Paint/Color Scheme
Interior Paint
Exterior Paint
8
Please select the design goals of your project (check all that apply):
Style
Function
Livable
Inviting
Safe
Beautiful
Resale Value
Capture our personal tastes
Have you hired a designer before?
Yes
No
If yes, please explain your experience.
1
What type of service would you like from MBW Designs?
Consultation with Recommendations (fee applies)
Styling/Decorating (Surface Decorating Selections: color, fabric, accessories, furniture, window treatments, lighting)
Full Service Interior Design: Including Surface Decorating Selections, Space Planning, Floor Plans, Illustrations/Drawings, Specifications, Code Requirements, Lighting Plan, Project Implementation and Management)
Estimated budget range for project (all aspects of project):
If you know specifically the amount you want to spend please check other and fill in that amount.
$500-$5,000
$5,000-$10,000
$10,000-$25,000
$25,000-$50,000
$50,000-$75,000
$75,000-$100,000
$100,000-$200,000
Other:
Please briefly describe the issue(s) with your current home.
Comments:
Verification
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