<p>kai interior design 18208 Preston Road, Suite D9 Dallas, TX 75252</p><p>Client Questionnaire</p><p>Residential Commercial</p><p>Name Email </p><p>Address </p><p>Home Phone Cell Work </p><p>Company Name </p><p># of People in Office </p><p>Other Adults In Home </p><p>Children (Ages) </p><p>Pets </p><p>Special Considerations</p><p>Design Project</p><p>Room(s) </p><p>How will you use the room(s)? </p><p>How would you like the room(s) to feel? (ie. warm, sophisticated, contemporary, elegant, etc.)</p><p>Scope of Project: Please indicate products/services in which you are interested</p><p>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</p><p>*Do you need sun control, privacy, and/or decorative treatment yes no</p><p>A few more on the next page... kai interior design 18208 Preston Road, Suite D9 Dallas, TX 75252</p><p>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</p><p>Fabric Patterns & Textures: Check only those you like or prefer</p><p>Solid Plaid Animal Toile Stripes Paisley Floral Tone on Tone Small Prints Geometric Velvet Large Prints Smooth/Shiney Textured Leather Damask Silk</p><p>What are you comfortable investing in this project? Please choose one.</p><p>$0 - $2,500</p><p>$2,500 - $5,000</p><p>$5,000 - $10,000</p><p>$10,000 - $15,000</p><p>$15,000 - $25,000</p><p>$25,000 +</p>