RESIDENTIAL CLIENT QUESTIONNAIRE Order Number YOUR INFORMATION Name: Employment: Job Title: Email: Birthday: SPOUSE OR SIGNIFICANT OTHER'S INFORMATION Name: Employment: Job Title: Email: Birthday: HOME ADDRESS Street Address: Street Address 2: Street Address 3: City: State: Zip: CONTACT NUMBERS Cell Phone: Work Phone: Home Phone: Spouse's Cell Phone: METHODS OF COMMUNICATION Preferred Communication Preferred Communication? Phone Email Text Fastest method Fastest Method? Phone Email Text PREFERRED APPOINTMENT DAYS Preferred day? Preferred Day? Monday Tuesday Wednesday Thursday Friday Saturday Preferred time? Preferred Time? Morning Afternoon Evening SPECIAL OCCASIONS Anniversary: CHILDREN Child Name: Child Name 2: Child Name 3: Child Name 4: Child Birthday: Child Birthday 2: Child Birthday 3: Child Birthday 4: Their Child: Their Child 2: Their Child 3: Their Child 4: CHILDREN Pet Name: Pet Name 2: Pet Name 3: Pet Name 4: Pet Breed: Pet Breed 2: Pet Breed 3: Pet Breed 4: Pet Birthdate: Pet Birthdate 2: Pet Birthdate 3: Pet Birthdate 4: DESIGN NEEDS State your design needs here: DESIGN PREFERENCES FABRIC Solids Florals Stripes Plaids Checks Harlequin Geometric Large Scale Small Scale Textures STYLE American European French English Traditional Modern Contemporary COLORS & ALLERGIES What colors do you like? What colors do you dislike? Are you allergic to any fragrances or fabrics? FURNITURE PREFERENCES What style furniture preferences do you have? MISCELLANEOUS What hobbies & interests do you have? Please list any associations, clubs, or special interest groups you belong to. Please list any magazines you like to read. Please list any stores your prefer to shop at. Please list your favorite restaurants.