DESIGN QUESTIONNAIRE Select an answer from the drop downs and submit. How many rooms would you like to change? How many rooms would you like to change?12345678910 What is your time frame? What is your time frame?1-2 weeks2-4 weeks1-2 months2-3 months3-6 months6-9 months9-12 months How will you select a contractor? How will you select a contractor?Bid (2 or more)Sole SourceNeed Recommendation Will this be completed in phases? Will this be completed in phases?YesNo What is your style? What is your style?TraditionalTransitionalRusticFrench CountryTuscanShabby ChicEclecticCoastalModern FarmhouseModern CountryArt DecoUndecided Do you need help selecting colors? Do you need help selecting colors?YesNo Why are you remodeling? Why are you remodeling?UpdatingRoom isn't functionalChange the moodRepurpose the room Do you have children? Do you have children?YesNo Do you have pets? Do you have pets?YesNo Name Email Phone Number Room 1 Room 1Family RoomFormal Dining RoomFormal Living RoomGame RoomKitchen/BreakfastLaundry RoomMaster BathMaster BedroomMedia RoomMud RoomNurseryOfficeOutdoor AreaPlay RoomSecondary BathSecondary BedroomWorkout RoomWorkshopOther What are you looking to change? What are you looking to change? Accessories Appliances Back Splash Cabinetry Counter Tops Draperies Electrical Fixtures Flooring Furniture Gas Hardware Home Automation Lighting Media Equipment Paint Plumbing Tile Other Room 2 Room 2Family RoomFormal Dining RoomFormal Living RoomGame RoomKitchen/BreakfastLaundry RoomMaster BathMaster BedroomMedia RoomMud RoomNurseryOfficeOutdoor AreaPlay RoomSecondary BathSecondary BedroomWorkout RoomWorkshopOther What are you looking to change? What are you looking to change? Accessories Appliances Back Splash Cabinetry Counter Tops Draperies Electrical Fixtures Flooring Furniture Gas Hardware Home Automation Lighting Media Equipment Paint Plumbing Tile Other Room 3 Room 3Family RoomFormal Dining RoomFormal Living RoomGame RoomKitchen/BreakfastLaundry RoomMaster BathMaster BedroomMedia RoomMud RoomNurseryOfficeOutdoor AreaPlay RoomSecondary BathSecondary BedroomWorkout RoomWorkshopOther What are you looking to change? What are you looking to change? Accessories Appliances Back Splash Cabinetry Counter Tops Draperies Electrical Fixtures Flooring Furniture Gas Hardware Home Automation Lighting Media Equipment Paint Plumbing Tile Other Room 4 Room 4Family RoomFormal Dining RoomFormal Living RoomGame RoomKitchen/BreakfastLaundry RoomMaster BathMaster BedroomMedia RoomMud RoomNurseryOfficeOutdoor AreaPlay RoomSecondary BathSecondary BedroomWorkout RoomWorkshopOther What are you looking to change? What are you looking to change? Accessories Appliances Back Splash Cabinetry Counter Tops Draperies Electrical Fixtures Flooring Furniture Gas Hardware Home Automation Lighting Media Equipment Paint Plumbing Tile Other Room 5 Room 5Family RoomFormal Dining RoomFormal Living RoomGame RoomKitchen/BreakfastLaundry RoomMaster BathMaster BedroomMedia RoomMud RoomNurseryOfficeOutdoor AreaPlay RoomSecondary BathSecondary BedroomWorkout RoomWorkshopOther What are you looking to change? What are you looking to change? Accessories Appliances Back Splash Cabinetry Counter Tops Draperies Electrical Fixtures Flooring Furniture Gas Hardware Home Automation Lighting Media Equipment Paint Plumbing Tile Other Room 6 Room 6Family RoomFormal Dining RoomFormal Living RoomGame RoomKitchen/BreakfastLaundry RoomMaster BathMaster BedroomMedia RoomMud RoomNurseryOfficeOutdoor AreaPlay RoomSecondary BathSecondary BedroomWorkout RoomWorkshopOther What are you looking to change? What are you looking to change? Accessories Appliances Back Splash Cabinetry Counter Tops Draperies Electrical Fixtures Flooring Furniture Gas Hardware Home Automation Lighting Media Equipment Paint Plumbing Tile Other Room 7 Room 7Family RoomFormal Dining RoomFormal Living RoomGame RoomKitchen/BreakfastLaundry RoomMaster BathMaster BedroomMedia RoomMud RoomNurseryOfficeOutdoor AreaPlay RoomSecondary BathSecondary BedroomWorkout RoomWorkshopOther What are you looking to change? What are you looking to change? Accessories Appliances Back Splash Cabinetry Counter Tops Draperies Electrical Fixtures Flooring Furniture Gas Hardware Home Automation Lighting Media Equipment Paint Plumbing Tile Other Room 8 Room 8Family RoomFormal Dining RoomFormal Living RoomGame RoomKitchen/BreakfastLaundry RoomMaster BathMaster BedroomMedia RoomMud RoomNurseryOfficeOutdoor AreaPlay RoomSecondary BathSecondary BedroomWorkout RoomWorkshopOther What are you looking to change? What are you looking to change? Accessories Appliances Back Splash Cabinetry Counter Tops Draperies Electrical Fixtures Flooring Furniture Gas Hardware Home Automation Lighting Media Equipment Paint Plumbing Tile Other Room 9 Room 9Family RoomFormal Dining RoomFormal Living RoomGame RoomKitchen/BreakfastLaundry RoomMaster BathMaster BedroomMedia RoomMud RoomNurseryOfficeOutdoor AreaPlay RoomSecondary BathSecondary BedroomWorkout RoomWorkshopOther What are you looking to change? What are you looking to change? Accessories Appliances Back Splash Cabinetry Counter Tops Draperies Electrical Fixtures Flooring Furniture Gas Hardware Home Automation Lighting Media Equipment Paint Plumbing Tile Other Room 10 Room 10Family RoomFormal Dining RoomFormal Living RoomGame RoomKitchen/BreakfastLaundry RoomMaster BathMaster BedroomMedia RoomMud RoomNurseryOfficeOutdoor AreaPlay RoomSecondary BathSecondary BedroomWorkout RoomWorkshopOther What are you looking to change? What are you looking to change? Accessories Appliances Back Splash Cabinetry Counter Tops Draperies Electrical Fixtures Flooring Furniture Gas Hardware Home Automation Lighting Media Equipment Paint Plumbing Tile Other What is your total budget? What is your total budget?< $2,500$2,501 - $5,000$5,001 - $7,000$7,001 - $10,000$10,001 - $12,500$12,501 - $15,000$15,001 - $20,000$20,001 - $25,000$25,001 - $30,000$30,001 - $40,000$40,001 - $50,000$50,001 - $60,000>$60,001 How did you hear about Southerly Interiors & Design? How did you hear about Southerly Interiors & Design?FacebookInstagramAdsOther 'Other' was selected- please explain where you heard about Southerly Interiors & Design. Number Submit LINKS Questionaire About Gallery FollowFollowFollow CONTACT INFO Amanda@SoutherlyID.com 832-856-7600 southerlyid.com
