Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Design Questionnaire
After you submit this questionnaire a member of JLI will contact you as soon as possible. If you need to reach us before, please call (847) 386-9105. Thank you.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Room that needs to be designed:
*
Your answer
Overall design goals and needs:
*
Your answer
How would you describe your style?
*
Traditional
Eclectic
Contemporary
Modern
Transitional
Vintage
Nautical Coastal
Other:
Required
Colors you are drawn to:
*
Warm Colors
Cool Colors
Neutrals + Whites
Bold / Dramatic Colors
Pastels
Required
Preferred metal finish:
*
Gold
Silver
Brushed
Chrome
Bronze
Required
What is the budget for your room(s)?
*
Your answer
Any additional info that you think will be helpful: (the more information you provide us, the better idea we will have of your project needs)
Your answer
Contact Info:
Your name:
*
Your answer
Phone number:
*
Your answer
E-mail:
*
Your answer
Preferred contact method
*
Phone
Email
Required
Questions and comments
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
