Client Intake Questionnaire Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.First NameLast NameAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Project Specific InformationType of ProjectCommercialAgriculturalUtility / StorageResidentialOtherBrief Project Description Project Address is Same as AboveProject AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhotos of the Site (if applicable) Drag & Drop Files, Choose Files to Upload You can upload up to 10 files. Max file size is 10 mb per file. Maximum of 10 files please.Survey of the Site (if available) Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. Boundary or topographic survey performed by a licensed professional surveyor. Max file size is 10 mb. Geotechnical Report (if available) Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. Subsurface investigation report completed by a registered professional engineer. Max file size is 20 mb.Sketches or Drawings Drag & Drop Files, Choose Files to Upload You can upload up to 10 files. Napkin sketches, crayon drawings, AI renderings, Pinterest photos, or any other information that may help us understand the project. Size of the Project (square feet)Please include only the new area to be designed. It's OK to estimate Existing Conditions This is a greenfield (empty site, new build)This is an addition to an existing buildingThis is a renovation or retrofit of an existing buildingThis is a demolish and rebuildOtherExisting Building Drawings Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. If this is an addition to or modification to an existing building, please upload blueprints of the existing building (if available)Project Schedule *Intend to start construction in the next monthIntend to start construction in the next 6 monthsIntend to start construction in the next 12 monthsIntend to start construction in the next 24 monthsNo construction start date plannedFlexibleHow did you hear about JLA? *--- Select Choice ---Current RelationshipWord of mouth / referralGoogleFacebookCounty / Building DepartmentOtherJLA Design Disclosures By checking this box, you agree to receive SMS messages and emails from JLA Design, LLC. Reply STOP to opt-out; reply HELP for support; message and data rates may apply. Messaging frequency may vary. We do not sell or share your information with third parties except as required by law. For additional information please refer to our privacy policy. (see link below)I have read and understand the aboveSubmit https://www.jladesign.com/privacypolicy/