Modern Intentions Design Questionnaire Form

Modern Intentions Design Questionnaire Form:

This service is complimentary when using Modern Intentions products and will be discussed before beginning. Complimentary design services include space planing, 2D and/or 3D renderings, as well as expert advice.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Which space(s) need interior design? *

Describe your project goals and needs here: *

Do you rent or own? *

What is your Budget? *

How many people will occupy the room at any given time? *

Does the room need to be kid or pet friendly? Any special considerations or needs? *

If yes, please explain: *

Which Modern Intentions products are you most interested in? *

What colors are you drawn to? *

Are there certain colors you want to avoid? *

What materials are you drawn to? eg: Fabric vs Leather, Oak vs Walnut etc. *

What must remain in the room? Please list items & their dimensions here: *

Are there certain materials you wish to avoid? eg: real leather *

What are the overall measurements of the room? (windows, doors, walls & ceiling height) Or simply upload a sketch below. *

* Please notate locations of any plug outlets or vents unless they can be relocated.

{Optional} Upload A Room Sketch here. You can even take a picture of a sketch with your phone and upload that. *

Max file size: 20MB

{Optional} Photo of adjoining room *

Max file size: 20MB

{Optional} Photo of furniture to remain in the room *

Max file size: 20MB

{Optional} Additional Photo *

Max file size: 20MB

Overall room photo *

Max file size: 20MB

Overall room photo 2 *

Max file size: 20MB

Wall A *

Max file size: 20MB

Wall B *

Max file size: 20MB

Wall C *

Max file size: 20MB

Wall D *

Max file size: 20MB

Floor Detail *

Max file size: 20MB

Ceiling Detail *

Max file size: 20MB

Additional Comments *

Submit

Modern Intentions Design Questionnaire Form:

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