INTAKE FORM

Name *

First Name

Last Name

Is this a short-term or long-term home for you?

SHORT TERM

LONG TERM

DO YOU WORK FROM HOME?

YES

NO

Do you have trouble falling asleep, staying asleep, or waking up too early?

Check all that apply

Falling Asleep

Staying Asleep

Waking Up too Early

Are there any specific design styles or aesthetics you’re drawn to? (e.g., modern, bohemian, minimalist, eclectic)

Modern

Mid-Century

Bohemian

Victorian

Global Eclectic

Japandi

Hollywood Glam

Scandinavian Minimalism

Other

What has stopped you from completing this space on your own? (Check all that apply)

I feel overwhelmed by too many choices

I don’t know how to pull everything together

I’m afraid of making the wrong decision

I need a second opinion to feel confiden

I’ve purchased things but they don’t feel right in the space

Other

How do you typically make design decisions?

I decide quickly and confidently

I overthink and second-guess myself

I need to see options visually before deciding

How hands-on do you want to be in the process?

I want to be fully involved in each decisio

I want expert guidance but need final approval

I’d love for you to take the lead and bring my vision to life