Please fill out this form as complete as you can. Date* Date Format: MM slash DD slash YYYY Full Name*Address*New or Existing Store NameProject Address:*Email:* Phone*What is the purpose of this remodel? Are we changing the use of the space (occupancy)?Sqaure footage of the space:*When do you plan to be done with your remodel?*Will you need a health department and/or a building permit?*YesNoAre 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 photos or videos existing space floor plans 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 our target market?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?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 traditional Victorian arts and crafts Mediterranean South Asian European industrial vernacular green/sustainable feminine playful masculine reserved but sophisticated Your preferences in the following shapes: rounded organic geometrical Your preferences in the following lighting style: sophisticated whimsical fun playful mysterious creative simple easy other Lighting OtherDo 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:Design services you are interested in:* Logo Concept brand design Store front design Space planning Construction documents Permits Interior design Realistic 3D renderings of design Website IPhone App What is your construction budget, not including design services fee or any equipment?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 Yahoo networking referral, from: other: referral fromplease specify otherCommentsThis field is for validation purposes and should be left unchanged.