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RV Questionnaire Part 2 of 2
Name
First
Last
Email
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
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Interior Finishes
Interior Skin
Wood
Aluminium
Copper
Wall Covering/texture
Upholstered
Leather
Paint
Other (Please Specify)
Cabinetry
Wood
Stainless
Aluminum
Laminate
Other (Please Specify)
Flooring
Hardwood
Bamboo
Engineered Wood
Sheet Vinyl
Linoleum/Marmoleum
Rubber
Other (Please Specify)
Countertops
Solid Surface (Corian/Staron)
Stainless
Laminate
Other (Please Specify)
Window Treatments
Drapes
Roller Shades
Blinds
Cellular Shades
Pleated Shades
Woven Shades
Other (Please Specify)
Lighting
Types of General Lighting
LED Warm White
LED Cool White
Incandescent
Recessed
Puck
Track/Cable
Colored
Other (Please Specify)
Types of Accent Lighting
LED Warm White
LED Cool White
Incandescent
Reading lights
Halogen
Under-cabinet lighting
Recessed
Wall Aisle Lighting
Puck
Pendant
Track/Cable
Rope
Other (Please Specify)
Would you be interested in multilcolor lighting capabilities? (LED only)
Please select
Yes
No
Unsure
Would you be interested in dimming capabilities?
Please select
Yes
No
Unsure
Fixture options
Galley Sink
Please select
Under mount sink
Over mount sink
How many bowls
Single bowl
Double bowl
Bowl Split
Evenly split
Unevenly split
Galley Sink Material
Stainless Steel
Granite
Ceramic
Other
Plumbing Fixture Finish Options
Stainless Steel
Brushed Nickel
Polished Chrome
Antique Brass
Polished Brass
Copper
Oil Rubber Bronze
Other
Lavatory Sink Options
Under mount
Over mount
Vessel
Wall mount
Lavatory Sink Material
Poreclain
Stainless Steel
Copper
Ceramic
Glass
Other
Shower fixture:
Stationary
Hand held with slide bar
Hand held without slide bar
Mattress Construction
Firm
Soft
Pillow Top
Tempur-Pedic
Sleep Number
Other
Color Preferences
Bright
Light
Neutral
Rich
Warm
Cool
Dark
Vibrant
Pastel
Earthy/Natural
Muted
Reds
Greens
Blues
Yellows
Oranges
Purples
Pinks
Grays
Browns
Please select 3 that best apply to you
What description listed below describes your design style?
Modern
Traditional
Retro
Vintage
Rustic
Country
Contemporary
Eclectic
Exotic
Additional Comments:
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