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Initial Intake Form
Please fill out this form to get started on your styling project with Mysa Home Styling!
Feel free to email me at
mysahomestyling@gmail.com
if you have questions. Thanks! —Heather
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* Indicates required question
Name
*
Your answer
Email Address
*
Your answer
Phone number
Your answer
What space are you looking to have styled?
*
Your answer
What is your budget for this space (not including the cost of home styling)?
*
Your answer
Please include the measurements of your space. This can be typed out in a list, or drawn out and emailed to
mysahomestyling@gmail.com
.
Your answer
Please send 3–10 photos of your space to
mysahomestyling@gmail.com
.
*
I did it!
I will do it soon!
How do you use the space or how do you envision using the space if it met your needs?
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Your answer
What do you love about the space?
*
Your answer
What do you dislike about the space?
*
Your answer
Please describe your style in a few words or sentences.
*
Your answer
If you have an inspiration Pinterest board, please include the link. This can also be emailed to
hello@mysahomestyling.com
if you prefer.
Your answer
Please select the colors you envision for this space.
*
Please select between 2–5 colors.
Teal
Gray
Beige
Orange
Green
Yellow
White
Red
Purple
Black
Pink
Blue
Other:
Required
If you have a preference, please select your 2 favorite finishes.
Matte black
Gold/Brass
Oil-rubbed bronze
Silver/Chrome
Other:
Please list what you already have for this space.
*
Your answer
Please list what you would like sourced (for example: rug, lamp, wall art, etc).
*
Your answer
What stores would you like items sourced from?
Target
Ikea
Hobby Lobby
West Elm
World Market
Pottery Barn
RugsUSA.com
Wayfair.com
Overstock.com
Amazon.com
Etsy.com
Any of the above
Other:
Please share anything else you'd like me to know about you or your space.
Your answer
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