GET IN TOUCH + QUESTIONNAIREssegaux@balm.live Name * First Name Last Name Email * ssegaux@balm.live Phone (###) ### #### Project Address Address 1 Address 2 City State/Province Zip/Postal Code Country WHICH DESIGN SERVICES ARE INTERESTED IN? SEE DESCRIPTIONS UNDER SERVICES DESIGN VISION A LA CARTE FULL SERVICE WHAT IS YOUR BUDGET FOR THE SPACE? UNDER $25 K $45K-80K $80K-150K $150K AND UP HOW INVOLVED DO YOU WANT TO BE? INVOLVED IN EVERY DECISION NOT INVOLVED SOMEWHAT INVOLVED WHAT SPACE TYPE HOME BUSINESS SPECIAL EVENT OTHER HOW QUICKLY DO YOU MAKE DECISIONS? RIGHT AWAY SOMEWHAT QUICKLY I TAKE MY TIME WHAT TYPE OF MOOD ARE YOU GOING FOR IN THE SPACE? BEACHY WHYMSICAL ROMANTIC FUN GLAMOROUS COZY MOUNTAIN CHEERFUL AND BRIGHT MEDITATION AND RELAXATION DREAMY RUSTIC DARK & MYSTERIOUS OTHER WILL ANY ACCENTS BE REMOVED OR ADDED? WALL REMOVAL PLUMBING CHANGES ELECTRICAL CHANGES ADDITIONS WHAT IS THE MAIN FUNCTION OF THE SPACE? ARE YOU LOOKING FOR ANY SPECIFIC ELEMENT THAT YOUR SPACE MUST HAVE? DO YOU HAVE A SPECIFIC STYLE OR LOOK YOU WOULD LIKE TO CREATE? LIST A FEW OF YOUR FAVORITE INTERESTS THAT YOU WOULD LIKE REFLECTED IN YOUR SPACE. WHEN WOULD YOU LIKE THE PROJECT COMPLETED? WHAT TYPE OF A LA CARTE SERVICES ARE YOU INTERESTED IN? Thank you!