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HOME
ABOUT
PORTFOLIO
DESIGN PACKAGES
CLIENT QUESTIONNAIRE
CONTACT

Client Questionnaire

Please complete this questionnaire after our initial phone call.

Contact Us

Name:

Email:

Phone:

Would you like to receive our newsletter and exclusive deals?

Yes

No

Preferred Contact:

Call

Text

Email

Referral Source:

Internet

Houzz

Facebook

Instagram

Pinterest

Friend/Family

Other

Start Date:

Completion Date:

Service Requested:

Project Size:

One Room

Two Rooms

Three Rooms

Four Rooms or More

Rooms Servicing:

Living Room

Dining Room

Kitchen

Pantry

Bathroom

Nursery

Kid's Bedroom

Master Bedroom

Office

Other

Who Will Be Using The Space:

What is Your Design Style:

Mid-Century Modern

Modern

Contemporary

New Option

Traditional

Farmhouse

Country

Industrial

Coastal

Bohemian

Electric

Minimal

Rustic

Retro

Shabby Chic

Hollywood Glam

Vintage

Other

What do you like about this style(s)?

Will you be purchasing new furniture?

Yes

No

What items do you require for this space?

Where do you shop for furniture/home decor?

Is there a must have or priority for this space?

Is there a common color palette in your home? If so, what?

What colors are you drawn to?

Neutrals

Darks

Bold and Bright

Warm Colors (Red, Brown, Orange)

Cool Colors (Blue, Green, Grey)

Budget:

Up to $1,500

1,500 - $3,500

$3,500 - $7,500

Over $7,500

Project Type:

Residential

Commercial

Hospitality

Multi-Family

Nature of Project:

Full Renovation

Updating/Upgrading

Addition

Redecorating

New Build

Please provide the name of your contractor or architect:

Ceiling Height:

Room Length:

Room Width:

Pets:

Yes

No

Children:

Yes

No

Entertain:

Yes

No

What do you like about your current space?

What do you like dislike about the current space?

How will you be using the space?

Is there a color that should not be used?

What metal finish are you drawn to?

Silver

Bronze

Gold

Brass

Chrome

Brushed Nickel

Matte Black

Other

What fabrics are you drawn to?

Solid

Patterns

Both

Type of patterns you like:

Floral

Geometric

Animal

Stripes

Etc.

Additional comments or considerations:

Thank you for contacting us.
We will get back to you as soon as possible.

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Alaea Ansley Interiors offers full service design throughout Orange County, CA. We also offer E-design.

Contact Us (251) 769-2558

© 2025

All Rights Reserved | Alaea Ansley Interiors

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