Client Form

At CC Interiors Design Studio, we provide a professional and personalized comprehensive service, designing spaces with the client's well being. We want to know who we are designing for, this questionnaire will provide us with the information we need to put together the right team and come up with a customized plan for your home to bring your vision to life.

Please take a moment to complete the answers below. All information will be kept confidential.

Name

Email

Phone

Do you have any pet

Yes No

Are your pets allowed on furniture? Are they allowed to roam the entire house?

Yes No Other:

What do you do for a living?(Please answer for as many residents as possible)

Do you anticipate changes for any Household Member (i.e University, retirement,etc) within the next 2-3 years? Please explain

Special needs? Click the one that applies

Disabled Elderly Children Other:

Describe your favorite ways to entertain- casual or formal; number of people?

How technological savvy are you?

Fully automated home ( heating, ventilation and airconditioning, lighting control system, smoke detectors, home security, solar cell, wireless speakers, smart home appliances, smart blinds solutions, home surveillance cameras, smart door locks, smart home sensor, smart voice recognition, smart remote controls) Somewhat automated (heating, ventilation and air conitioning, lighting control system, home security, solar cell, smart door lock, home surveillance camera, wireless speakers) Neutral (home security, wireless speaker, lighting control system, homesurveillance cameras, smoke detectors, solar cell) Less (homesurveillance cameras, lighting control system, solar cell) Not at all Other:

How important is security to you? Click the one that applies.

Is there anything you would like us to do or is there anything you do not want to see in your home?