Joanna Shirin Interiors

Sophisticated Design NYC, NJ, CT & Beyond

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Client Survey

Please take a few minutes to answer these questions about your project. These details will help us provide you with better guidance or service. Anything you are not sure how to answer you can leave blank, and we'll just discuss it over the phone.

Your Name*
First Last
Project Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Best Way to Contact You:*
- By Phone
- By E-Mail
Contact Phone #
Phone # to text to:
Best Contact Email
Have you ever retained the services of an Interior Design Firm?*
- Yes
- No
Please describe your experience:
Why are you looking to design or redesign your space now?*
Tell us about your project
Project Type (please check all that apply)
- New Construction
- Remodel
- Design/Decorating
Project Budget:
- $15,000 - $20,000
- $20,000 - $30,000
- $30,000 - $50,000
- $50,000 - $100,000
- $100,000 - $250,000
- $250,000 - $500,000
- $500,000 +
Project Square Footage
How soon does your project need to be done?
- As Soon As Possible!
- Within 3 months
- 3-6 months
- 6 months or later
- other
Rooms/Spaces to be included in the project (please check all that apply)
- Entire Home
- Entry Hall/Foyer
- Living Room
- Dining Room
- Family/Great Room
- Kitchen
- Nook
- Office/Study
- Library
- Laundry Area
- Powder Room
- Master Bedroom
- Guest Bedroom
- Children's Bedroom
- Nursery
- Master Bathroom
- Guest Bathroom
- Children's Bathroom
- Home Theater/Media Room
- Lower Level
- Outdoor Area
What are you considering having done? (please check all that apply)
- Space Planning
- Furniture Selection
- Reupholstery
- Window Treatments
- Lighting
- Interior Paint
- Wallcovering
- Artwork and Accessories
- Flooring
- Appliances
- Fixtures (plumbing)
- Exterior Paint
- Not sure - just want my home to be brilliantly designed.
A bit about you and your personal style:
What style best describes you now?
- Traditional
- Contemporary
- Transitional
- Eclectic/Mix
- Formal
- Casual
Your Favorite Color
Your Least Favorite Color
The space/room you love the most in your home now:
What makes you love this space?
Are there any pieces of furniture or art collections that must be worked into the redesign? (please provide details)
Anything else we should know about your specific needs? Be as detailed as you need to here. You have plenty of space!
Thank you for taking the time. We will reach out to you once we've had a bit of time to go over your needs.
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Telephone: 917.596.9663

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