New Client Questionnaire Please take a few moments to complete the information requested below. Brief answers are fine. Involve your entire household. Have fun telling us about your wants and needs. We would like to take full advantage of the time we share together and your input is essential. Thank you for your cooperation. All information will be kept confidential.
Contact Information
Address
City
How would you prefer to be contacted?	Work phone   Home phone   Email   Cell   Day   Eve
Contact #1
Name	First Last
Day Phone	### - ### - ####
Evening Phone	### - ### - ####
Fax	### - ### - ####
Cell	### - ### - ####
Email
Contact #2
Name	First Last
Day Phone	### - ### - ####
Evening Phone	### - ### - ####
Fax	### - ### - ####
Cell	### - ### - ####
Email
Household Information
House square footage
Age of house
Number of bedrooms
Number of bathrooms
How long have you lived in your home and how long do you plan to live in your home?
Do you have plans for the future use of your residence? (Will your rooms need to serve different functions in the future for any household members?)
Household Members Please provide us with the names of the members of your household and what needs they have for space, work, study or special needs. Please include ages of each child.
Member 1
Name (and age)
Work, Study, Space, Special Needs
Birthday
Member 2
Name (and age)
Work, Study, Space, Special Needs
Birthday
Member 3
Name (and age)
Work, Study, Space, Special Needs
Birthday
Member 4
Name (and age)
Work, Study, Space, Special Needs
Birthday
Member 5
Name (and age)
Work, Study, Space, Special Needs
Birthday
Member 6
Name (and age)
Work, Study, Space, Special Needs
Birthday
Do you anticipate changes for any Household Members: (i.e. College, retirement, etc.) within the next 2-3 years? (Please explain)
Do you have pets in household? Please list type, age, special needs:
Special Considerations - Check any that apply:	Disabled, elderly, or young children in the home?   Are occupants daytime sleepers?
Entertaining
Our entertaining style is:	Formal   Informal   Combination or both
We entertain:	1-2 times/week   1-2 times/month   1-2 times/year
Average number of guests:	1-6   7-12   More than 12
Average guests' ages:	Adults   Teenagers   Children   All ages
Entertaining type:	Meals   Music   Games   Watching TV   Other
If other, please describe:
Meals
What cooking facilities are required?	Average   Above average   Elaborate
Does more than one person cook at a time?	Yes   No
Where do you eat your meals?	Dining table   Kitchen table   Kitchen counter   Family room   Other
If other, please describe:
Maintenance
How many hours per week will be devoted to cleaning and/or maintenance of your home?
Do you have professionals clean your home?	Yes   No
If yes, how often?
Hobbies
Do the household members share common time around the home together?	Yes   No
If yes, is an area needed to accommodate you?	Yes   No
Explain:
Do you have any collections?	Yes   No
If yes, please list:
Are any collections on display?	Yes   No
If yes, would you like to display your collection? Where?
Hobbies:	Reading   Entertaining   Cooking   TV / Home Theater   Music   Crafts / Sewing   Sports   Other
If other, please describe:
What are your technical needs?	Computers   Wireless DSL/Satellite   Surround Sound   Home Theater   Other
If other, please describe:
Are you looking to create a children's play area?	Yes   No
Home Office
Does any household member work from home?	Yes   No
If yes, are there any special needs (i.e., lighting, soundproofing, computers, etc.)?
Is there a designated area for working in your home?	Yes   No
Lighting
Please check any locations that need additional lighting:	Bathroom   Bedrooms   Office   Kitchen/Nook   Living Room   Family Room   Other
If other, please describe:
Storage
	Multipurpose Furniture   Hidden Storage (for clutter issues)   Closet Storage / Organizers
Vacation Time
We stay at home for our rest/relaxation:	All the time   Some of the time   Rarely
We travel for our vacations:	All the time   Some of the time   Rarely
Project Information
Person(s) responsible for project decisions:
What is the budget for your project?	$5,000-$10,000   $10,000-$40,000   $40,000-$100,000   $100,000-$200,000   Other
If other, please describe:
This project is to be done:	All at once   In stages
Will occupants be home during project/construction for access?	Yes   No
If not, will you authorize neighbors or designee to provide access?	Yes   No
Priorities:
Project Scope Please indicate the rooms to be included in the project. If the project will be done in stages, please indicate the order of the work by entering a number in the box (1 = first, 2 = second, etc.)
Entry Hall / Foyer
Formal Living Room
Formal Dining Room
Family / Great Room
Kitchen
Nook
Office / Study
Laundry Area
Master Bedroom
Master Bathroom
Hall Bathroom
Guest Bathroom
Bedroom #2
Bedroom #3
Bedroom #4
Home Theater / Media Room
Outdoor Kitchen
Outdoor Living Area
Other (please describe)
What kind of enhancements are you considering? (Please check all that apply)	Furniture   Flooring   Reupholstery   Remodel Kitchen   Window Treatments   Remodel Bathroom   Window replacements or changes   Artwork, mirrors, etc.   Appliances   Interior paint   Accents   Plumbing fixtures   Exterior paint   Space planning   Room addition   Wallpaper   Murals   Lighting   Wall finishes   Color scheme / Paint   Other
If other, please describe:
What is your favorite room in the house?
Why?
What don't you like about your current home?
Why?
What part of your house do you use the most?
What part of your house do you use the least?
Are there any pieces of furniture, wall or floor coverings that must stay, and be worked into the new plan?	Yes   No
Please explain:
Are there any items that MUST GO?	Yes   No
Please explain:
How involved do you wish to be in this project?	Very involved (Call you with details and updates daily or weekly)   Involved - KPSID to act as project manager (Keep you updated with install dates, deliveries, work schedule etc.)   Minimally involved - don't call until everything is ready to install   Other
If other, please describe:
What is your "ideal" timeline for your project?	Within 3 months   3-6 months   Other
If other, please describe:
Design Goals Prioritize the following personal design goals for your home from 1-3, with 1 being your most important quality.
I am interested in achieving a more stylish/beautiful appearance for my home
I want my home to function more effectively for my household.
I want my home to better reflect our personal tastes.
Other (please describe)
Would you like to include "green products" when possible?	Yes   No   What do you mean?
What "feeling" are you seeking to achieve?	Casual   Formal   Spacious   Clean lines   Warm / cozy   Light / airy   Elegant   Sophisticated   "Lived in"   Welcoming   Romantic   Contemporary
What style are you seeking to achieve? (See style photos at the bottom of this page)	Tuscan   Beach Cottage   Old World   Mediterranean   Country Cottage   Art Deco   French Country   Asian   Early American   Mission style   Southwestern   Industrial
Do you and your partner's style preferences agree?	Yes   No
Comments:
The following questions are designed to provide us with a general description of your likes and dislikes regarding your personal style:
Select from the following to describe your preferences in fabric: (Check all that apply)	Paisley   Stripe   Plaid   Toile   Silk   Sheer   Leather   Bold pattern   Suede   Velvet   Subtle pattern   Satin   Cotton   Other
If other, please describe:
Preferences of Color: (To select multiple colors, click a color while holding the Ctrl key on Windows or the Cmd key on Mac)	Whites Blacks Burgundies Pinks Aquas Mint Greens Olive Greens Forest Greens Teals Oranges Reds Navy Blue Powder Blue Warm Colors Cool Colors Subtle Bright Blues Jewel Tones Neutrals Earth Tones Pale Yellows Yellows Peach Bold Pastels Grays Beiges Tans Eggplant Lavenders Purples Greens Other
If other, please describe:
Colors you dislike?
Do you have a color theme in mind?	Yes   No
Are there types of flooring you prefer? (Please check all that apply)	Hardwood   Carpet   Laminate   Natural Stone   Concrete   Tile   Combination   Bamboo   Cork
Are there types of window treatment you prefer? (Please check all that apply)	Custom Draperies   Blinds   Sheers   Shutters   Room Darkening   Curtains   All Fabrics   Natural Materials   Metal   Shades   Other   Combination
If other, please describe:
Do you need sun control or privacy with your window treatments?	Yes   No
Additional information regarding preferences:
Have you ever hired an interior designer before?	Yes   No
If yes, when did this take place, and were you pleased with the experience and the results:
Thank you for your input. We look forward to serving you with your design needs. Please complete the image verification and click "Submit Questionnaire" to send us the completed questionnaire.
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Style Photos

Tuscan:

Beach Cottage:

Old World:

Mediterranean:

Country Cottage:

Art Deco:

French Country:

Asian:

Early American:

Mission:

Southwestern:

Industrial:

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