Name
*
First Name
Last Name
Email
*
Who lives in your house?
(Please include names, relationship to you, birthdays. Don’t forget to include yourself)
Do you have any pets? If yes, what type of pet and what are their names?
Where were you born, where did you grow up?
If you live with a partner, where were they born and where did they grow up?
Tell me a little bit about your upbringing -where are you from, what is your cultural background, where did you go to highschool and college?
What is your favorite holiday?
Did you grow up religious? What is your current religious/spiritual orientation?
Do you have siblings? If so, how many and what is your birth order?
How long have you lived in your current city?
How long have you lived in your current house?
What are your favorite things about living here? What are your least favorite things?
What are your favorite areas in the house and why?
What are your least favorite areas in the house and why?
What is your favorite food?
What are some favorite meals in your family?
Do you exercise - if yes what type of exercise do you prefer and about how frequently?
Do you have any health concerns, conditions or complaints?
Do you have a regular (in some capacity!) spiritual practice such as meditation or prayer?
Do you generally sleep well? Frequent sleep disturbances?
Are you a light or deep sleeper?
Do you have any recurring dreams?
What are your favorite colors?
On a free day you love to…
What is your favorite place in nature?
(Current or from childhood – describe it in a few words and say why you love it)
1. When you were a child, what activities or pastimes do you remember most fondly at home?
Please select at least three options from this list or add your own.
2. When you look at the activities you picked from question 1, what emotions do you recall feeling from these activities?
3. As an adult, what activities or pastimes do you engage in most often at home?
Here is another helpful list.
Other
Yes / No / Not Sure
Yes
No
Not Sure
Yes / No / Not Sure
Yes
No
Not Sure
Yes / No / Not Sure
Yes
No
Not Sure
Yes / No / Not Sure
Yes
No
Not Sure
Yes / No / Not Sure
Yes
No
Not Sure
5. Look at the list again and select activities that you WOULD LIKE to include in your lifestyle at home that are currently missing.
Other
6. Do you see a connection or disconnection between what you enjoyed as a child versus as an adult? If so, why do you believe this is?
7. What areas in your home do you spend the most time in?
Other
8. Elaborate on what activities you do most in these rooms, even if these rooms are not intended for that use.
1. I have always wanted to have a space for...
2. My ideal home has...
3. Is there anything you have always wanted but dismissed because it does not seem possible or practical?
Something I have always thought would be fun would be...
4. Is there any area of your home where you would like to spend more time but don't right now due to spatial constraints, design, layout, or something else? List them here.
5. While dreaming about your ideal home and lifestyle, which spaces and activities bring you the most joy?
1. How would you like your home to FEEL?
Other
2. What are the MATERIALS you want to experience in your home?
Other
3. What are the TEXTURES you want to experience in your home?
Other
4. What words would you use to describe your ideal home STYLE?
Other
1. What accessories do you own that are meaningful to you and that you would like displayed in your home?
2. Do you have anything that's been packed away for a while that you would use in your home? Why?
3. Is there a special collection you have or would like to have displayed in your home> Elaborate on how you see this. Does it need any special room, furniture or accessory?
