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DESIGN NEEDS QUESTIONNAIRE
Help us Learn about you and your needs.
First Name
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Last Name
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Street Address
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Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Phone Number
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Email Address
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What can Mary Etta Designs do for you?
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Full Service Design
Color Consultation
Interior Redesign
Custom Window Treatments
What interior space are you designing?
Own
Rent
House
Own
Rent
Condo
Own
Rent
Apartment
Own
Rent
Commercial
Own
Rent
What room(s) are your top priority at this time?
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What problems are you hoping to solve?
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What is your design style? Traditional, Modern, Contemporary, New Traditional, Vintage, Formal Relaxed, Rustic, etc.
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What items that you own are you wanting to incorporate in your new design?
Furniture
Paint Color
Accessory
Other
Other
What new items are you hoping that I can help you with in the design?
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Custom Furniture
Custom Window Treatments
Designer Fabrics
Designer Accessories
Designer Accessories
Where do you usually shop for your home or office? i.e. Macy's Furniture, Home Goods, West Elm, Furniture Stores, etc.
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What is your design budget for this project?
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