First Name *
Last Name *
Email *
Cell Phone - -
Home/Work Phone - -
Address * Street Address Address Line 2
Is this the project address? * Yes No (Please fill out Project address below)
Project Address Street Address Address Line 2
What architectural style is your home? Make a Selection cape cod ranch colonial tudor mediterranean craftsman modern other
What colors are you most comfortable living with? Make a Selection neutrals warm tones (golds, browns) cool tones (blues, greens) pales bold / deep colors white other
List the rooms you would like help with and approximate dimensions for each.
What is the total estimated budget for this project? *
Is your estimated budget amount flexible? * Make a Selection Yes, can increase it if need be No, I cannot spend more than this No, but I can decrease my needs to fit it
Which of the following options do you think best fits your needs? Package 1: Design Online Package Package 2: Instant Refresh Package Package 3: DesignWagen Spree Package Package 4: One-Day Redesign Package Package 5: Design + Find Personalized Shopping Tour of Los Angeles Other (Individual Service or Custom Package)
Which design style(s) best represents your taste? Please check all that apply. Click name for image Art Deco Modern Shabby Chic Traditional/Classic Transitional Eclectic Mission Style Asian Antiques Rustic Industrial Ethnic Country Hollywood Glamour Hollywood Regency Other
What materials and/or items do you anticipate purchasing/replacing/refurbishing?
Which items that you own, if any, would you wish to incorporate?
What is your goal in designing the room(s) you have selected?
Which retail and/or online stores do you usually shop for furniture and home accessories and what is your favorite furniture resource?
Is there additional information you'd like us to know about you and your home?
How did you hear about Designers Call services? Friend Internet search Referred by a service provider or retailer Online Article Printed Article Print Ad Newsletter Television I'm a former client Other
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