NEW CLIENT QUESTIONNAIRE

During the initial Client Meeting designers will fill out the questionnaire below. Brief answers are fine.
Clients involve your entire household. Have fun telling us about y ​ our​ wants and needs. We would like to
take full advantage of the time we share together, and your input is essential. Thank you for your
cooperation. All information will be kept confidential!

PRIMARY CONTACT INFORMATION: DATE: September 18, 2020

Name: Tammie Parr

Address: 71 Gibson drive
Home Phone: (828)734-8079
Work Phone: ---------
Email: ----------

How would you prefer to be contacted? (Check all that apply)

•​Work Phone •​E-Mail •​In-Person

Part I: HOUSEHOLD INFORMATION
House square footage: 3​ 000 sqft_____​ # Bedrooms: ​3__________
Age of house: ​Brand new____ #Baths:​ 2.5​_________
How long do you plan to live in your home?
Forever home​_________________________________________________________________________

Do you have plans for the future use of your residence? (Will your rooms need to serve different
functions in the future for any household members?)

No​.____________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Household Members:
Please provide us with the names of the members of your household and what needs they have
for space, work, study, or special needs. Please include the ages of each child.

Name Work, Study, Space, Special Needs Birthday

Example: Will soon need own room or study space, needs better lighting in bedroom May 15
Stacy, 10
Tammie Brighter lighting throughout house, January 14
Parr

FI52 Interior Design II Summer 2020

Jack Indoor gym, Bidet toilet seat, heated bathroom floors and toilet seat, January 12
Konieczka

Do you anticipate changes for any Household Members: (i.e. College, retirement, etc.) within the
next 2-3 years? (Please explain)
A retirement home_________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Do you have pets in the household? What types, age, special needs:
Two dogs, one boxer and one collie,______________​________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Special Considerations – Check any that apply:

•​Disabled, elderly or young children in the home?

•​Are occupant’s daytime sleepers?
LIFESTYLE

ENTERTAINING:
Our entertaining style is:

•​Formal •​Informal •​Combination or both

We entertain:

•​1-2 times/week •​1-2 times/month •​1-2 times/year

Average # of guests:

•​1-6 •​7-12 •​More than 12

Average guests ages:

•​Adults •​Teenagers •​Children •​All ages

Entertaining Type:

•​Meals •​Music •​Games

•​Watching TV •​Other __________________________________
MEALS:
What cooking facilities are required?

•​Average •​Above Average •​Elaborate

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Does more than one person cook at a time? Yes ​ / No

Where do you eat your meals?

•​Dining Table •​Kitchen Counter •​_______________________

•​Kitchen Table •​Family Room •​_______________________
MAINTENANCE:
How many hours per week will be devoted to cleaning and/or maintenance of your home?
5 hours a week​______________________________________________________________________

Do you have/ or are going to hire professionals to clean your home? Yes​ / No
If yes, how often:​ Once a month​_________________________________________________

HOBBIES:

Do household members share common time around the home together? Yes​ / No

If yes, is an area needed to accommodate you? Yes ​ / No

Explain: ​Living room​________________________________________

Do you have any collections? Yes / ​No

If yes, please list-
_____________________________________________________________________________________
Are any collections on display? Yes / ​No
If yes, would you like to display your collections? Where?
_____________________________________________________________________________________
Hobbies:

•​Arts & Crafts/Sewing •​Cooking •​Entertaining •​Gardening

•​Music •​Reading •​Sports •​T.V./Home Theater
•​Other: __________________
What are your technical needs?

•​Computers •​Home Theater •​ Surround Sound

•​Wireless DSL/Satellite •​Other: __________________
Are you looking to create a children’s play area? Yes / ​No

HOME OFFICE:

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Does any household member work from home? Yes / ​No
If yes, are there any special needs (i.e. lighting, soundproofing, computers etc.)?
______________________________________________________________________________________
______________________________________________________________________________________

Do you need a designated area for working in your home? Yes / ​ No

LIGHTING
Is additional lighting needed? Yes​ / No
If yes, locations:

•​Bathrooms •​ Bedroom (Master) •​Kitchen/nook •​Office

•​ Bedroom •​ Family Room •​Living Room •​Other: __________________
STORAGE

•​Multipurpose Furniture
•​ Hidden Storage (for clutter issues)
•​Closet Storage/ Organizers
VACATION TIME:
We stay at home for our rest/relaxation.

•​All the time •​Some of the time •​Rarely

We travel for our vacations.

•​All the time •​Some of the time •​Rarely

Part II: PROJECT INFORMATION

Person(s) responsible for project decisions: T

​ ammie Parr, Jack Konieczka
What is the budget for your project?

•​ $40,000 – $90,000 •​$100,000 –​ ​$200,000 •​Other: __________________

What kind of enhancements are you considering? (Please check all that apply)
•​ Furniture •​ Flooring •​ Reupholstery

•​ Specific Type of Windows •​ Window Treatments •​ Appliances

•​ Interior Paint •​ Artwork, mirrors, etc. •​ Plumbing Fixtures

•​ Exterior Paint •​ Accents •​ Lighting

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•​ Wallpaper •​ Murals •​ Color scheme/Paint

•​ Wall finishes •​ Doors (ie. French) •​ Space Planning/Utilization

What is your favorite room in the house? L

​ iving room​_______________________
Why? ​Most time is spent there​______________________________________________________
What part of your house do you use the most? L ​ iving room​________________________
What part of your house do you use the least? ​Bathroom​_________________________

Are there any pieces of furniture, window, wall or floor coverings that must stay, and be worked
into the new plan? Yes / ​No
If yes, please explain:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
How involved do you wish to be in this Project:

•​Very involved (Call/Email you with details and updates daily)

•​ Minimally involved (Call/Email you with details and updates weekly)
•​ Somewhat involved (Call/Email you with details and updates bi-weekly)
•​ Not very involved (Trust us to act as your project manager and notify you regarding BIG
changes or questions)
Part III: DESIGN PREFERENCES
Design Goals
Prioritize the following personal design goals for your home from 1-3, with 1 being your most
important quality.
___​1​___ I am interested in achieving a stylish/beautiful appearance for my home
___​2​___ I want my home to function effectively for my household
___​3_​__ I want my home to better reflect my personal taste
Other: ______________________________________________________________________________
Would you like to include “green products” when possible? Yes​ / No
What “feeling” are you seeking to achieve?

•​Casual •​Elegant •​”Lived In” •​Spacious

•​Clean Lines •​Formal •​Romantic •​Warm/cozy
•​Contemporary •​Light/airy •​Sophisticated •​Welcoming

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What Style are you seeking to achieve? (See examples in Style Photos pg 8-20)
•​ Art Deco •​ Country Cottage •​ Industrial •​ Old World

•​ Asian •​ Early American •​Mediterranean •​ Southwestern

•​ Beach Cottage •​ French Country •​ Mission Style •​ Tuscan

Do you and/or your partner’s style preferences agree? Yes ​ / No

Comments:
_____________________________________________________________________________________
______________________________________________________________________________________

The following questions are designed to provide us with a general description of your likes and
dislikes regarding your personal style:

Fabric Preferences:​ (Check all that apply & see examples in Fabric examples pg 21-30)
•​ Abstract •​ Houndstooth •​ Satin •​Suede

•​ Animal •​ Leather •​ Sheer •​ Toile

•​ Bold Pattern •​ Organic •​ Silk •​ Velvet

•​ Chevron •​ Plaid •​ Stripe •​ _________________

•​ Cotton •​ Paisley •​ Subtle Pattern •​ _________________

Color Preferences:​ (Check all that apply & see examples in Fabric examples pg 31-32)
Neutrals Warm Cool Tones
•​ Beiges •​ Reds •​ Greens •​ Jewel
•​ Blacks •​ Oranges •​ Blues •​ Earth
•​ Browns •​ Yellows •​ Purples •​ Pastels
•​ Grays •​ Peach •​ Aquas •​ Bright
•​ Tans •​ Pale Yellow •​ Mint Greens •​ Subtle
•​ Whites •​ Burgundies •​ Olive Greens •​ Bold
•​ Pinks •​ Forest Greens •​ Rich
•​ Coral •​ Teals •​ Vibrant
•​ Salmon •​ Navy Blue
•​ Poppy •​ Powder Blue
•​ Goldenrod •​ Eggplant
Colors you dislike? R
​ eds, oranges​______________________________________________
Do you have a color theme in mind? Yes / ​No
Please Describe:
______________________________________________________________________________________
______________________________________________________________________________________

FI52 Interior Design II Summer 2020

______________________________________________________________________________________

Are there types of flooring you prefer? (Check all that apply)

•​ Bamboo •​ Concrete •​ Hardwood •​ Reclaimed Hardwood

•​ Carpet •​ Cork •​ Laminate •​ Shag
•​ Combination •​ Glass Tile •​ Natural Stone •​ Tile

Are there types of window treatments you prefer? (Check all that apply)

•​ All Fabrics •​ Custom Draperies •​ Shades

•​ Blinds •​ Metal •​ Sheers
•​ Cornice •​ Natural Materials •​ Combination ______________________________
•​ Curtains •​ Room Darkening •​ Other ____________________________________

Do you need sun control or privacy with your window treatment?

•​Yes​ ​•​No

Any additional information regarding your preferences that would be helpful or we need to
know?
Not at the moment.​__________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Thank you for your input. We look forward to serving you with your design needs!

FI52 Interior Design II Summer 2020