Interior Designer Questionnaire (cont)

other joint functions? Describe or attach any example____________

_______________________________________________________

Have you done an interior design survey at your facility? __________

Circle the people surveyed Patients, Visitors, Staff

Are you will to share the finding and the form? Attach form, if possible

_______________________________________________________

Do you have a design committee or group at your facility? ________

List the make-up of that group _______________________________

_______________________________________________________

Your Position

Are you full time/part time/other? ____________________________

Are there other designers at your Facility? ______ List them by

name_________________________________________________

Do you assist other facilities? _______________________________

List the facility and what you have done

_______________________________________________________

______________________________________________________

_______________________________________________________

Have you contracted out for any interior design services, other than

with an A/E firm during a construction project? If so describe _____

_______________________________________________________

Are you responsible for a budget or control point? _______________

Annual amount_____________

What is the scope of your responsibility?

Sq. footage__________________No . of Blds______________

Other______________________________________________

Do you manage other functions/duties?

Painters____________Movers_____________Signage___________

Space____________ Facility Events_______ Protocol

Officer_______

Other__________________________________________________