E-Design Questionnaire
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First & Last Name *
Email Address *
Phone Number *
Project Address *
Why are you looking to redesign your space? *
What rooms would you like to redesign? (Select as many that apply) *
Required
What is your budget? (excluding Designer Fee) *
Please provide measurements for the room(s) you wish to redesign.
Do you have any colour schemes in mind? Please specify below.
What design style do you prefer?
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What is your favourite furniture and decor store?
How many people will be using these rooms daily?
Do you have an ideal completion date?
MM
/
DD
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YYYY
What are your must-haves and wants in your space?
Do you have any existing items that you would like to incorporate into this space?
Are there any design considerations we should be aware of?
Are there any patterns or anything specific you do not like?
What do you currently like or dislike about the space(s)?
Are you interested in adding drapery to this room(s)?
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Are you interested in adding wallpaper to this room(s)?
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Are you interested in adding more lighting to this room?
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Do you have a Pinterest inspiration board? Please share the link if you do.
How did you hear about us?
Please email photos of your space to info@marianahenriquez.com 
I confirm that all the information given in this form is true and correct. *
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