Name Address Email Home Phone Business Phone Best Time to Reach You Morning Noon Evening Project Completion Date Next 6 Months Next Year Next 1.5 to 2 Years Two Years or Later General Information New Home Remodel What rooms do you plan to remodel: Kitchen Bath Office Study Library Great Room Family Room Living Room Working with: Interior Design Professional Architect Interior Designer Builder Contractor None How did you hear about Potomac Designs: Already worked with Potomac Designs Designer Magazine Potomac Designs Literature Potomac Designs Web Site Friend How long have your been planning your new interior design: Just Started Six Months One Year 1.5 to 2 Years Why are you looking into new interior design: Additional questions or comments: ABOUT US KITCHENS INTERIORS SERVICES GREAT FINDS CONTACT US ©Potomac Designs. All Rights Reserved. 2002