Questionnaire – Marina Bargouti

Name *

Email Address *

Phone *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Please select package *

What room needs interior design? *Please select ONE room.

What is your design style? *

You selected other, please explain *

Do you have any specific items you would like to keep?Please list them here and please provide pictures of the items.

How many people will occupy the room at any given time?*

Does the room need to be kid or pet friendly? Any special considerations or needs? *

If yes, please explain *

What is the overall budget for the space? (Excluding design fee) *

Do you have any budget for us to bring additonal styling options? If so, what is the budget? *

Do you like pattens or do you prefer solids? *

If you do prefer patterns, which ones are you most drawn to? *

(Floral, geometric, stripes, etc.)

Do you currently have a consistent color theme running through your home? If so, please explain. *

Do you have particular colors you're drawn to, or colors you'd prefer NOT to see in your space? *

Are you open to painting the walls? *

Would you be open to seeing wallpaper in your space? *

What type of art are you typically drawn to? Do you have a favorite artist? *

What are the overall measurements of the room? Please indicate windows, doors, walls & ceilings height *

Please upload photos of the room *

No file chosen

Please submit photos of your space that shows ceiling frame, flooring, and any architectural features

Please upload Room Sketch here *

No file chosen

Please upload photos of the space *

No file chosen

Including all elements of the room(s) you intend to keep

Please upload design inspirations *

No file chosen

Do we have your permission to feature your room design on our blog and social media? *Your name will not be published, just the images of the design.

E-DESIGN TERMS & CONDITIONS *Yes, I agree to the Terms & Conditions for the E-Design Service1. All design services are non-refundable. 3. The Client agrees to provide the following information in order for the project to begin - images of the space, sketch / measurements of the space, inspirational pictures. 4. Package price is per room / individual space. If you have an open floor plan and you wish to design/decorate a living room and a dining room, please make a payment for two rooms and submit images & sketches of each space. 5. E-Design clients agree to correspond via e-mail. 6. E-Design clients are provided one round of revisions at no charge. If client requires additional edits, client agrees to an additional fee that will be charged by the hour ($185/hour). 7. E-Design service doesn’t include managing construction, purchasing, delivery or installation of products related to the E-Design project. 8. E-Design doesn’t include arranging deliveries, repairs, replacements, freight claims, or lead times for purchases made in conjunction with the E-Design. 9. Design work will only start upon receipt of the above mentioned files (images, sketches) and payment. If changes are made by the client after the design has begun, additional time and/or fees may be required and documented in writing. 10. E-design product deliverables will be sent to the client within 20 business days (per room) of the project start date for review, which begins only upon receipt of the payment and confirmation e-mail has been sent to the Client. 11. Unlimited follow-up questions (by email) are included in every E-design package for a period of 7 business days from the date e-design package is delivered. 12. Designs by Marina B. reserves the right to use your Design Board and/or other product deliverables in websites, blogs or other marketing efforts. 13. After client chooses one Visual Concept and approves it, all links, prices and description will be sent for each item presented on the E-Design Concept.

How did you hear about us?

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Credit / Debit Card *

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