Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Service Requested *

Small Design Package

Large Design Package

Full Service Design

Home Paint Consultation

Virtual Design Consultation

Project Size *

One Room

Open Concept Living Space

Multiple Rooms

Whole Home

Budget for Project *

Not including Design Hours by Liliidae

Up to $2,000

$2,000 - $5,000

$5,000 - $10,000

Over $10, 000

Budget for Design Work *

Just a ballpark if you have one!

Under $500 (less than 7 hours)

$500-$1000 (less than 13 hours)

$1000-$1500 (less than 20 hours)

Over $1500 (over 20 hours)

Nature of Project *

Full Renovation

Updating/Upgrading

Addition

Redecorating

New Build

Pets *

Yes

No

Children *

Yes

No

How do you and your significant other feel about this project? *

Complete agreement

Different styles but we still agree

Opposite sides of the spectrum

Significant other does not care, I can do whatever I want

Other:

What colours are you drawn to? *

Neutrals

Darks

Bold and Bright

Warm Colours (Red, Brown, Orange)

Cool Colours (Blue, Green, Grey)