Client Questionnaire

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Contact Information

* First Name:
* Last Name:
Street Address:
City:
Postal Code:
Phone Number:
Cell Phone Number:
* Email Address:	Email address is not valid.
How I discovered Emma Dane Design:

Location (if different from above):
Type:	Residential Commercial
Age of Building/Dwelling:	New Build Other (please specify):
Main Reason for Renovation:
Type of Services Required:	Design Design & Build
Preferred Start:

Project Areas:

Kitchen Bathroom(s) Family/Living/Great Room Fireplace	Master Bedroom Ensuite Den/Office Home Theatre	Gym/Games Room Rental Suite Exterior Finishes Office Space (Commercial)
Additional Comments:

Services Required:

CAD (Computer-Aided Design) Drawings for Construction Permits Cabinetry/Millwork Countertops	Backsplash Materials Plumbing Fixtures Appliances Flooring	Decorative Lighting Window Coverings Furniture/Accessories Wall Coverings/Paint
Additional Comments:

Design Styles of Interest (styles can be combined to form a fusion style, such as Modern West Coast):

Classic Traditional Country Cottage Shabby Chic Modern/Contemporary Green/Eco-Friendly	Asian West Coast Organic Arts and Crafts Rustic Romantic	European Mediterranean Scandinavian Tuscan Transitional Eclectic
Additional Comments:

Colours of Interest (to be used in various applications, such as paint/wall coverings, tile, millwork, flooring, etc.):

White/Neutral
Blue

Yellow/Orange
Beige/Brown

Green

I Prefer: Warm Tones Cool Tones

Colours to Avoid (please specify):