Art4Babies, Inc.
QUESTIONNAIRE
Name:
________________________________________________
Address:
______________________________________________
City:
Zip:
_____________________ E-Mail: _____________________
Home Phone:
_______________________________
Work Phone:
_______________________________
Best way and time to reach you: ____________________________
Family Members and Ages: ________________________________
How did you hear about
us?________________________________
Are you currently working with a decorator? If yes, please list name, company, and
contact number:_______________________________
Reason for Contacting Art4Babies:
___________________________
Rooms that you want to focus on: _____________________________________
Your color preferences for the rooms: (Please attach color samples---a cutout from
a magazine or a paint swatch, if available.
If you are undecided, we can discuss.)
_______________________________________________________________
Regarding the color palette for this room, do you
prefer pastels, jewel colors, Black & White, Neutrals, Muted colors, Earth
tone colors, etc:
_______________________________________________________________
If you are interested in a Mural, please answer:
What type of paint currently on walls:
Please write in answer from selection
below______________________________
______________________________________________________________
Flat,
Satin, Semi-Gloss, Gloss, Faux Painting, Wallpaper, Wallpaper Border,
Paneling
Other:________________________________________________
Ceiling
Height:__________________________________________
Crown
Molding? Baseboards? Chair Rail?
Are
you interested in a ceiling mural?
If you are interested in a Room-Scaping Design Consultation or if
the question applies to custom artwork, please answer the following:
Do
you have your own fabric or are you interested in suggestions?
(If you have own fabric,
please pull a swatch or a pillow sham for color and fabric matches)
_______________________________________________________________
What
is the current theme or motif that you are using? _________
What
did you find appealing about this theme and/or motif? ________
What
is your favorite part of the room?
______________________
Are
there any requested changes or dislikes about your current motif?
For all:
ASSIGNMENT:
Please pull any artwork samples that you find appealing to express your
ideas or visions. For example, look
through catalogs, illustrated children’s books, decorating books, online, etc. Note:
We have an Ideas Portfolio available for viewing. This is to get an idea of the styles that you
like.
WISH LIST:
_____________________________________________________
Interests:
Please Indicate your Selections:
Mural Pottery
Ceiling Mural Custom
Window Treatments
Canvas Mural “Welcome
Baby” Gift Basket
Design Services (Room-Scaping) Handpainted Pillow
Ornaments Floral
Arrangements
Wall Hanging Canvas
Paintings
Slate Painting Special
Request:___________
Painted Lamp Personalized
Photo Frames
Custom Quilt Design Painted
Furniture
Handpainted Baby and Toddler Clothing Custom Drawer Pulls
OTHER:______________________________________________
Any other comments or things that we should know…
Thank you for taking the time to complete this Questionnaire.
It will help us best respond to your Design and Artwork needs.