First Name*

Last Name*

Email Address*

Phone Number*

Today's Date (MM/DD/YYYY)*

Ideal Start Date (MM/DD/YYYY)

Ideal Completion Date (MM/DD/YYYY)

Current Address*

Job Site Address

Are you already working with or have you already selected a general contractor or builder?* Are you already working with or have you already selected a general contractor or builder?* Yes No

What type of design help do you need? (Check any that apply.) Our interior design consultations are for clients working on remodels or new builds that also have a need for furnishings, art or accessories from Mix Home Mercantile.* What type of design help do you need? (Check any that apply.) Our interior design consultations are for clients working on remodels or new builds that also have a need for furnishings, art or accessories from Mix Home Mercantile.* New Construction: Whole Home Finish + Furniture Selection Whole Home Remodel Finish + Furniture Selection Living Room Furniture Layout + Selection Kitchen/Dining Furniture Layout + Selection Sunroom Furniture Layout + Selection Primary Bedroom Furniture Layout + Selection Home Office Furniture Layout + Selection Secondary Bedroom Furniture Layout + Selection Family/Rec Room Furniture Layout + Selection Bar Furniture Layout + Selection Entry Foyer Furniture Layout + Selection Other

If other, please list.

Furnishings + Decor Budget*

Design Services Budget*

Our furniture consultations include design mood boards and furniture spaceplans. We also review fabric and finish samples in person at our design studio or in your home. When we help you select finishes and fixtures for your large scale remodel or new build, we provide design mood boards for each area and scaled elevations as needed to relay information to your builder. Please mark any additional requested design services: Our furniture consultations include design mood boards and furniture spaceplans. We also review fabric and finish samples in person at our design studio or in your home. When we help you select finishes and fixtures for your large scale remodel or new build, we provide design mood boards for each area and scaled elevations as needed to relay information to your builder. Please mark any additional requested design services: Renderings/3-D Visualizations Other

If other, please list.

Will there be additional decision makers? If so, list their names here. If possible, we prefer all decision makers attend the initial meeting and major design meetings.

Who besides you will be using the space? List names, ages and anything else related to general requirements.*

What would you like to change about your space? What has led you to want the help of an interior designer?*

Describe your style (Modern, Transitional, European, Farmhouse, Colorful, Neutral, etc.)*

Do you have any styles or colors you dislike?

Do you have existing pieces of furniture you want us to incorporate into your design concept?* Do you have existing pieces of furniture you want us to incorporate into your design concept?* Yes No

How did you hear about us?* How did you hear about us?* Google Search Instagram Facebook Pinterest Website Referral Other

If referred, tell us by who. If other, please explain.