Client Survey
Welcome to Samira's Inspiration, your event management company!

We are excited to plan your upcoming event and would like to gather some introductory information.

The information below, helps to assess your needs and begin planning that special moment. Please take a few moments to complete this form.

Thank you for thinking of Samira's Inspiration
How did you hear about us
Contact Email
First Name *
Last Name *
Contact Phone Number *
Address *
City *
State *
Is this a business or personal event? *
Please select the type of business event you are hosting:
Please select the type of personal event you are hosting or service you need:
How many guests are you expecting at the event?Approximately *
Proposed date(s) (including year) of your event: *
Is this date firm? *
Proposed time(s) of your event: *
Would you like the event to take place indoor or outdoor? *
Your event budget *
Please provide more details about the event, such as the desired theme, food and drinks *
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This form was created inside of CnC Catering and Events.