www.VeronaInteriorDesign.com info@VeronaInteriorDesign.com Pre-consultation Questionnaire: How long are you planning on living in your current home? ________________________________________________ Do you own the home you are living in or do you rent? ___________________________________________________ How many people live in your home? _____________ What is their relation to you? (i.e. spouse, elderly mother, children, etc.) ________________________________________________________________________________________________ If children live in this home, what are their ages and are they boys or girls? ___________________________________ Does anyone living in the home have any physical or other disability that I should consider in any design? If so, describe the disability and the needs in general of that person… ________________________________________________________________________________________________ Tell me about any pets that live with you and have access to the interiors of your home… ________________________________________________________________________________________________ On a scale of 1 to 10, how important is it to you that you live in a beautiful well-designed home? _________________ What is your budget for the interior design of your home? ________________________________________________ Regarding the budget you have listed, is this for the life of the home; for this one project; for one room; for one year? Tell me what are your thoughts? ________________________________________________________________________________________________ In order to save money on interior design are you, or your spouse, willing to do some work yourself as opposed to hiring contractors for every need? _________________________________________________________________________ What expectations do you have in regard to how long this project will take to complete? ________________________________________________________________________________________________ Now let’s fantasize. If your home (God forbid) were to catch fire, and all members of your family, all pets, all important documents, all photographs and your jewelry have already been saved but you have time to go back into the house for only ONE more object, what would it be? Do not consider the size or weight of any object, in this fantasy, you can carry anything. _________________________________________________________________________________________ © Verona Interior Design LLC What is your favorite color? _______________________. Partner or spouse favorite color? ______________________ What is your least favorite color? __________________ . Partner or spouse least favorite color? __________________ What is your favorite hobby? ________________________________________________________________________ What is your partner or spouse’s favorite hobby? ________________________________________________________ How techno-savvy are you? In other words, do you enjoy high tech devices such as surround-sound theatres and computerized lighting controls or would you prefer to keep these types of things to a minimum? ______________________________________________________________________________________________ Do you consider yourself well-organized? ________________________ Do you feel you need more storage space and/or are you able to “throw things out”? ______________________________________________________________________________________________ Do you enjoy entertaining? If yes, what type of entertaining do you do; casual or more formal? ______________________________________________________________________________________________ If you can, prior to our meeting, please find three pictures of rooms that you find exceptionally attractive or that compel you in some way to want to improve your interiors. Just save these for when we meet. Name(s): ________________________________________________________________________________________ Address: ________________________________________________________________________________________ Phone number(s): _________________________________________________________________________________ E-mail address: ___________________________________________________________________________________ NONE of the information on this form will be shared with ANYONE outside of Verona Interior Design LLC ever. Submit this form to info@VeronaInteriorDesign.com © Verona Interior Design LLC