1.

How many people are normally staying at your house?:       

2.

Number and approximate ages of family members:

Children                       Adults

3.

How long do you plan on living in the home you are remodeling/building?

__ 1 to 5 yrs      __ 6 to 10 yrs
__ 11 to 20 yrs   __ 20+

4.

Where does your family eat its meals?

__ Kitchen    __ Dining Room
__ Other:________________

5.

Where will your family eat after you remodel/build? 

__ Kitchen    __ Dining Room
__ Other:________________

6.

Do you require a kitchen table or would you be willing to explore other options if a 
design could be improved?

__ A kitchen table is required
__ Preferred but open to other options
__ Not necessary

7.

What other activities will take place in your new kitchen?

8.

After your remodel/build will you entertain  frequently?    
 __ Yes    __ No 

9.

How do you shop?

1.

Who is the primary cook?

2.

Is the primary cook

__ left handed or __ right handed? 

3.

How tall is the primary cook?

4.

What is the primary cook's cooking style? 

5.

What does the primary cook prefer?

__ No one else in the kitchen while preparing meals.
__ A helper in the kitchen when preparing meals.
__ Family or friends visiting during meal preparation. 

6.

Does the primary cook have any physical limitations?

__ Yes __ No    What type?_________________________

7.

Is there a secondary cook?

__ Yes __ No

8.

If there is a secondary cook, which are they

__ left handed or __ right handed? 

9.

How tall is the secondary cook? ________ 

10.

Do the secondary and primary cook prepare meals together?   __ Yes __ No 

11.

What are the secondary cook's responsibilities?

12.

Does the secondary cook have any physical limitations?

__ Yes __ No    What type?_________________________

1.

What are your color preferences for your new kitchen?

2.

Are there colors you would not want in your new kitchen?

3.

Have you created a scrapbook of notes, photos, and ideas that you would like to use in your new kitchen?

__ Yes    __ No 

4.

If a design could be greatly improved, would you be willing to make structural changes? 

(i.e. moving windows, doors, and walls) 
__ Yes __ No 

5.

What do you like about your current kitchen?

6.

What do you dislike about your current kitchen? 

7.

Do you require a recycling center in your kitchen? 

__ Yes    __ No

If Yes... How many items do you need to sort? ___

8.

Will you be keeping your existing appliances? 

9.

What is your style preference for your new kitchen? 

__ contemporary    __ formal
__ country             __ traditional

1.

When would you like to begin your project?

2.

When would you like your project completed?

3.

If you are building, is the kitchen in your contract?
__ Yes    __ No 

4.

Do you have a budget for this project?
__ Yes:  $ ________________ 
__  No

1.

Name:

2.

Address:

3.

City/ State/ Zip:

4.

Home Phone:

5.

Work Phone:

6.

Fax:

7.

New Home Address:

8.

City/ State/ Zip:

9.

Builder Name (if applicable):

10.

Contact Name:

11.

Phone:

12.

Fax:

13.

Architect Name (if applicable):

14.

Contact Name:

15.

Phone:

16.

Fax:

17.

Interior Designer Name (if applicable):

18.

Contact Name:

19.

Phone:

20.

Fax: