subject_line
emerson grey d
esigns
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
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
*
Phone Number
*
Email Address
*
Do you rent or do you own?
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Do you want to paint in this room?
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yes
no
would consider wallpaper
Tell me about yourself:
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What is your budget for your room?
*
Where are your favorite places to shop for your home?
*
Would you be willing to do any DIY projects for this room?
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yes
no
maybe, depends on the level of difficulty
I can sew or knows someone that can
For my nursery design clients, please mark all the bedding choices you'll want me to suggest for your space.
*
none
crib bumper
crib sheet
crib skirt
changing pad cover
What color families are you drawn to? Mark as many as you'd like and wouldn't mind having in your space. This doesn't mean I will incorporate them all, but I don't want to work with a color you aren't a fan of.
*
red
orange
yellow
green
blue
purple
white
black
gray
tan
What design style are you drawn to most for your space?
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Traditional
Eclectic
Flea Market Finds
Modern, clean lines
Beachy
Boho
Farmhouse modern
What vision have you already come up with for this room?
*
Please provide links of inspiration rooms you have? Or if you are a part of Pinterest, provide me with your pinterest link and the board to referance.
*
Do you give me permission to use photos of your room on my website, Facebook and Pinterest? Possibly other forms of media?
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yes
no
Please provide me with images of the room. Each wall direction at least once. Any fun areas in the room i.e. nooks, great closet space etc. Any extra images may be sent to
brimoysa@emersongreydesigns.com
Any other information you can give me to help get to know you and your design needs, please leave them here.
*
Thank you so much for inquiring about my design services. It's an honor to be able to take part in creating the perfect space for you. This process will be fun and easy. Let's get started.
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