Questionairre To help me design the best space for you, please fill out the following form, submit it and I’ll get back to you soon! Name From(required) Location(required) Email From(required) Phone Select your online design service desire e-Design package 1 e-Design package 2 e-Design package 3 Custom e-Design quote Paint Selection Home Staging package 1 Home Staging package 2 Home Staging package 3 Your design style? Traditional Contemporary Eclectic Vintage / Retro Rustic Which space(s) need interior design?(required) Project goals / needs Wish List of room items? (Pillows, lighting, furniture, etc...) Number of people occupying room at a time? Kid and/or Pet Friendly? If Yes, please explain Your Budget? Your favorite furniture / decor stores? Colors you love / are drawn to? Warm Colors - reds browns gold orange Cool - blues greens grays Nuetral and/or Whites Bold Dramatic Pastels Fabric patterns, solids or both? Metal finish preference? Gold Silver Bronze Chrome Brushed Overall measurements of room...windows,doors,walls & ceiling height) Need help with this? Email me for easy instructions. Rent or Own? Rent Own Do we have your permission to feature your design on our blog? Yes No Submit Please email – J.MedinaDesigns@Outlook.com – photos of your space that best captures the areas that need design.