Name
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First Name
Last Name
Email
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Phone
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(###)
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Tell me about your project.
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Home Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Project Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How did you hear about Corey Powell Design Company?
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When would you like to start the design process?
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2-3 weeks
30 days
2 months
3-6 months
Other
After reviewing Corey Powell Design Company's services, which design service are you most interested in pursuing? Check all that apply.
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Full Service Design for Finishes (Example: tile, flooring, paint colors, fixtures etc.)
Full Service Design for Furnishings (Ex: Furniture, Rugs, Lamps, Accessories, etc.)
Full Service Design for Finishes AND Furnishings (both as described above)
E-Design
2 Hour Design Consultation
I am not familiar with your services!
1. What space or spaces are you wanting help with? Check all that apply.
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*Full Home
Kitchen
Main Living Area
Dining Room
Laundry Room
Master Bedroom
Master Bath
Bedroom
Bathroom
Office
Game Room
2nd Family Room
Playroom
Entry Way
Other
2. What types of changes are you wanting to make? Check all that apply
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Full Room Makeover
Paint
Trim
New Flooring
Tile
Lighting
Hardware
Layout & Flow
New Furniture
Accents / Decor
Rugs
Other
3. What are your trouble spots and dislikes in your current space.
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4. How would you describe your desired style and look?
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Classic
Modern
Traditional
Farmhouse
Coastal
Contemporary
Bohemian
Eclectic
Other
5. Select a budget range for any *CONSTRUCTION. Examples: flooring, tile, paint, renovation, lighting, plumbing, new build, etc. (not including design fees)
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$30k - $50k
$50k - $75k
$75k - $100k
$100k - $200k
$200k - $500k
$500k - $750k
$750k - $1M
$1M +
$2M +
$3M +
My project does NOT require construction
6. Select a budget range for *INTERIOR FURNISHINGS. (rugs, lamps, pillows, furniture, art etc) // (not including design fees)
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$10k - $25k
$25k - $50k
$50k - $100k
$100k - $150k
$150k - $200k
$200k - $300k
$300k - $400k
$400k - $500k
$500k +
$1M +
$1.5M +
My project does NOT require interior furnishings
7. If your project is a new construction or a remodel, where in the process are you and do you have a Contractor selected? Please include Contractors information.
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8. Are there any colors or specific design elements you do NOT like?
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9. Provide a brief description of your overall vision and desires for your space.
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10. What drew you to Corey Powell Design Company? How do you envision us possibly working together?
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11. Once the design project is complete, am I able to share/post the finished design with professional photos on my website and other social media sites? This can also include profession photography/videography.
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