Client Questionnaire Client Questionnaire Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Phone*Room(s) to be included in the design process?* Entryway Hallway Family Room Lounge Room Dining Room Office Master Bedroom Other Bedroom(s) Nursery Kitchen Bathroom Ensuite Laundry Outdoor/ Balcony Other What room would you like designed?Tell us abit about your home, lifestyle & space(s)If you have selected more than one space above, please answer for each of the rooms selected (Example: Lounge Room-XYZ; Dining Room- XYZ)Why have you decided to re-design your space(s)?*What are your dreams for the space(s)?*What is the mood or feeling you want created for your space(s)?*Light & airy, warm & friendly, bold & striking, calm & ordered etc.What colours would you most like to see?*How many people live in the home?*Do you have pets or children?*Please let me know the types of pets and the children's age.Do you rent or own your home?*Do you have any specific furniture requests?*(modular sofa, king size bed etc)Are you open to new paint or wallpaper?*Do you need new window treatments?*What lighting do you currently have in the space (recessed, ceiling fixture, fan, task lighting, mood lighting)? Do you need additional lighting?*Are there any existing furniture that you'll want to re-use in this space?*If applicable I can include options for refinishing and re-upholstery.What is your favourite thing about your home? What is your least favourite?*How would you describe your personal style when it comes to furnishings and accessories?*(Coastal Modern, Midcentury, Traditional, Shabby Chic, Rustic, Hollywood Regency, Country, etc.)Do you have any favourite homeware stores or brands?*Brands can include cars, handbags, clothing etc.Is there anything we should avoid when developing a concept and design plan?*Is there a colour, pattern, brand or material you really dislike?What is the estimated budget for your project?*Please Select$1000-$3000$3000-$5000$5000-$15,000$15,000-$25,000$25,000-$50,000$50,000-$75,000$75,000 - $100,000$100,000+How did you hear about House of Allure Interiors & Design*Please SelectOnline searchFrom a friendSocial mediaBusiness cardsMagazine publicationWhat is the timeline for this project?*Is there anything else we should know?Do you have a Pinterest or Houzz board dedicated to your home?If so, we'd love to see them! Please include the link belowUpload images/ filesDo you have inspirational images or floorplan? You can upload the files here. Drop files here or Accepted file types: jpg, png, pdf, gif. CAPTCHAAre you human? Please enter the captcha code below before submitting.