kai interior design 18208 Preston Road, Suite D9 Dallas, TX 75252

Client Questionnaire

Residential Commercial

Name Email

Address

Home Phone Cell Work

Company Name

# of People in Office

Other Adults In Home

Children (Ages)

Pets

Special Considerations

Design Project

Room(s)

How will you use the room(s)?

How would you like the room(s) to feel? (ie. warm, sophisticated, contemporary, elegant, etc.)

Scope of Project: Please indicate products/services in which you are interested

Renovation Wood Furniture Countertops New Construction Upholstery Rugs/Carpet Materials Specification Window Treatments* Flooring Space Planning Blinds/Shutters Accessories Millwork Design Bedding Other Lighting Wallpaper

*Do you need sun control, privacy, and/or decorative treatment yes no

A few more on the next page... kai interior design 18208 Preston Road, Suite D9 Dallas, TX 75252

Colors: Check only those you like or prefer White Red Aqua/Teal Pastels Black Pink Blue Neutrals Gray Orange/Rust Purple Earth/warm tones Brown Yellow/Gold Violet Cool Colors Tan/Taupe Green Bright Colors

Fabric Patterns & Textures: Check only those you like or prefer

Solid Plaid Animal Toile Stripes Paisley Floral Tone on Tone Small Prints Geometric Velvet Large Prints Smooth/Shiney Textured Leather Damask Silk

What are you comfortable investing in this project? Please choose one.

$0 - $2,500

$2,500 - $5,000

$5,000 - $10,000

$10,000 - $15,000

$15,000 - $25,000

$25,000 +