Design Questionnaire

Name*

Email

Phone Number*

Which room(s) would you like to have designed?
Entire HomeLiving Room / Family RoomDining RoomBedroom(s)KitchenBathroomOther

If "other", please specify

What is your overall budget for the space?
$50,000 - $100,000$100,000 - $250,000$250,000 +not sure

Mark any store you feel most comfortable shopping (n.b. this does not mean your items will come from these stores):
Ikea / Target / West Elm / CB2Pottery Barn / Crate & Barrel / Restoration HardwareDWR / Designer Shops and ShowroomsAntique/ 1st dibs / Custom-Made

Which of these words would you like to describe your rooms ? (check all that apply)
GlamourousPreppyClassicCraftyTraditionalResortModernVintageMid-CenturyEclecticInterestingCuratedTribalFeminineMasculineIndustrialNaturalColorfulTailoredMinimalLayered

Favorites- colors, clothing labels, restaurants, styles, anything that's a must.

Anything else we should know about your project?

Finally - please let us know - how did you hear about Jac Interiors? (referral, google, yelp, houzz, other) *