Client Intake Form | Yours Alone Interiors

top of page

Yours Alone Logos (4).png

Home
About
Portfolio
Services
Contact
More

Use tab to navigate through the menu items.

Schedule a Free Consultation

Let's get to know you.

Please fill out as much as you can in the form below. Anything you aren't able to provide at this time, we can discuss during our meeting. We look forward to learning more about you and your project.

Name

Email

Phone

Address

Preferred Contact * Required

Call

Text

Email

Service Requested * Required

Full service design

Virtual design

Mood board creation

Furniture & material selection

Space and layout planning

Project room (select as many as needed) * Required

Kitchen

Bathroom

Living Room

Bedroom

Mudroom

Playroom

Other

Budget * Required

$0 - $15,000

$15,000 - $30,000

$30,000 - $50,000

Over $50,000

Nature of project * Required

Updating/upgrading

Full renovation

Addition

New build

Describe your project.

Do you already have a contractor? If yes, who?

What do you like and dislike about the current space?

What are some must haves and nice to haves for the room?

What is your design style?

Modern

Traditional

Mid-century modern

Farmhouse

Minimal

Scandinavian

Country

Other

What colour palettes are you drawn to?

Neutrals

Darks

Bold and bright

Cool colours

Warm colours

Do you like patterns?

Yes

No

Anything else you'd like me to know?

Thank you for submitting! We are excited to learn more about your project!
We will be in touch soon.

Yours Alone Logos (1).png

Serving

Hamilton, Burlington, Brantford and surrounding areas.

Virtual design available.

Contact

Mail: nadine@yoursalone.ca

Phone: 905-512-9949

Socials

bottom of page