Consultation Questionnaire

What is your first and last name?

What is your home address?

If different than your home address, what is the address for the project?

What is your preferred telephone number?

What is your email?

What is your preferred form of contact? What is your preferred form of contact?EmailTextCall

What is the best day/time to contact you?

What services are you looking for Hillegass Home to provide? What services are you looking for Hillegass Home to provide? Layout Design Healthy Design Online Design Services Decorating Green & Sustainable Design Project Management Window Treatments Exterior Updates Trade Referrals Kitchen Remodel Bathroom Remodel Material Selection

Please provide a description of your project.

Please specify your budget for this project Please specify your budget for this projectUnder $2,000$2,000- $5,000$5,000-$10,000$10,000-$25,000$25,000-$50,000$50,000-$75,000$75,000-$100,000$100,000-$150,000Over $150,000

How would you like to obtain the trades (contractor, plumber, electrician, etc.) for this project? How would you like to obtain the trades (contractor, plumber, electrician, etc.) for this project?Hillegass Home ReferralWe have our own

Are you interested in project management services? This may include: maintaining the project timeline, scheduling and meeting trades, storing and delivering materials, etc. Are you interested in project management services? This may include: maintaining the project timeline, scheduling and meeting trades, storing and delivering materials, etc. Yes, this would be helpful No, thank you

Hillegass Home does not offer financing. How do you plan to pay for your project. Hillegass Home does not offer financing. How do you plan to pay for your project. Cash Cash/Finance through bank Finance through bank

Please list individuals living in the home. Please provide children’s ages, if applicable.