Questionnaire — Susie Chusid Designs

Street Address

City, State, Zip

Phone Number

Susie Chusid Designs

Design Questionnaire

Name

First Name

Last Name

State

Phone

(###)

###

####

GOALS (choose which best applies)

Paint Consultation - We will provide assistance in finding the right color(s) for your space & provide up to 6 large scale paper paint samples for you to view on your wall at home.

Mini Makeover - We will create a new look for your space using some of your existing furnishings. New items may also be recommended to complete your look. This can also include paint consultation!

Complete Room Makeover - Using a fresh eye, we create a whole new look for your space including new furniture recommendations, paint colors, lighting, art, accessories etc.

Organization Service - We will help you to organize and refresh any space in your home including closets, pantries and storage spaces of any kind.

What room or rooms are you interested in transforming?

PREFERENCES

How do you define your style? (check all that apply)

TRANSITIONAL

CONTEMPORARY

ECLECTIC (a mix of styles)

TRADITIONAL

I’m not really sure

Do you have existing pieces of furniture you would like to include in your space?

Lighting is essential in the success of a room, will you require lighting - ie. ceiling fixtures, lamps, sconces?

Do you need art/wall decor/accessories?

FAMILY & FURRY FRIENDS

How many people live in your home?

Do you have pets; if so, how many and are they allowed on furniture?

Do you have children, how many and what are their ages?

Please feel free to add any additional information you'd like to tell me: