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CLIENT INTERIOR DESIGN QUESTIONNAIRE
Please fill out this form as complete as you can.
Phone
This field is for validation purposes and should be left unchanged.
Date
*
MM slash DD slash YYYY
Full name
*
New or existing business name
Business address:
*
Email:
*
What was in the space before? Are we changing the use of the existing space (occupancy)?
Square footage of the space:
*
Are there any legal requirements specific to your company or location that we need to know about before designing your space?
Do you have the following:
*
existing space floor plans
existing space photos and videos
existing hvac unit model
existing water heater model
any images of other interior designs you like
Do you have a contractor? If so, what is his/her contact information?
How long are you planning to stay here? Or how long is your lease?
Who is your target market? Age range, occupation, income, gender...
How do you plan to acquire new customers?
If you could communicate a single message about your company to people entering into your space, what would it be?
Who is your competitor? (withing 4 miles radius)
What do you offer that your competition doesn't?
*
Do you have a tag line for your business?
Can you provide your branding colors, logo, website url and any other marketing materials? (If existing business or if you are working with another branding company)
Your preferences in the following style:
Slick Contemporary – Sleek, minimal, high-tech finishes, sharp lines.
Traditional or Victorian – Ornate details, symmetry, classic art.
Vintage American – Rustic charm, nostalgic touches, mid-century or farmhouse influences.
Arts and Crafts – Handcrafted quality, simplicity, earthy tones.
Mediterranean – Terracotta, stucco, mosaic, wrought iron, and warm or white tones.
South Asian – Rich colors, carved wood, textiles, and spiritual motifs (Indian, Pakistani, etc.).
European – Elegant moldings, antique furniture, Parisian, Tuscan, or English influences.
Industrial – Raw materials, exposed structures, metal, and reclaimed wood.
Vernacular – Regionally inspired, using local materials, traditions, and climate-responsive design.
Green / Sustainable – Eco-friendly materials, low-impact design, biophilic elements.
Feminine Playful – Soft tones, whimsical elements, rounded forms, delicate details.
Masculine Reserved but Sophisticated – Dark tones, leather, clean lines, structured layouts.
Moorish / Moroccan – Vibrant tiles, arches, lantern lighting, intricate patterns.
Japanese Zen – Simplicity, natural materials, low furniture, neutral palette.
African Tribal – Bold patterns, handwoven textures, warm tones, and earthy accents.
Eclectic – A curated mix of various styles, colors, and eras that express individuality.
Bohemian (Boho) – Layered textures, vibrant colors, artistic and free-spirited vibes.
Your preferences in the following shapes:
rounded
organic
geometrical
Your preferences in the following lighting style:
Sophisticated – Elegant chandeliers, sculptural fixtures, soft warm light, dimmable layers.
Whimsical – Quirky shapes, fairy lights, unusual materials, and imaginative forms.
Fun – Bright colors, neon signs, novelty fixtures, bold design statements.
Playful – Unexpected placement, interactive elements, geometric or asymmetrical designs.
Mysterious – Low ambient light, shadows, uplighting, hidden LEDs, dramatic contrasts.
Creative – Artistic fixtures, custom lighting sculptures, statement pendants.
Minimalist – Bare bulbs, concealed fixtures, no ornamentation.
Romantic – Candle-like glow, wall sconces, vintage bulbs, warm dimmed lighting.
Industrial – Exposed bulbs, metal shades, utilitarian and raw finishes.
Natural – Emphasis on daylight, light filtered through natural materials (e.g., woven or linen shades).
Ambient – Soft overall glow, ceiling-washed lighting, mood-enhancing.
Accent – Spotlights or directional lights to highlight art or architecture.
Glamorous – Crystal chandeliers, gold/brass accents, high-shine elements.
Tech-Savvy – Smart home integrations, color-changing LEDs, voice/gesture controls.
Rustic – Lantern-inspired, wood and wrought iron, soft amber tones.
Eclectic – Mix-and-match styles, layered light sources, global influences.
Lighting Other
Flooring finish you are considering:
Ceiling finish you are considering:
Wall finishes or features we need to keep in mind:
Menu board type preference (if applicable):
Countertop finish you are considering:
Do you have an example of a branded business interior you like? (doesn't have to be in the same industry)
*
What do you like in that interior?
Are you using any rep-s for your equipment and/or furniture? Contact info:
What is your construction budget, not including design services fee or any equipment? (We need to know what materials to use for your interior during design process. Quality of materials will depend on pricing. Also, more expensive design requires more architectural detailing from us.)
What are your expectations with your new space design?
Choose TWO preferences from the following:
*
Time
Quality
Price
Any additional information:
How did you hear of Mindful Design Consulting?
*
Google Organic Search
Google Paid Ads
Yahoo Organic Search
Online ad
Instagram
Facebook
Pinterest
TikTok
LinkedIn
Networking
Referral, from:
Other:
Referral from
Please specify other
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