1.) Number of family members? Choose One 1 2 3 4 5 6 More
2.) Age range of family members?
3.) Will there be young children using the kitchen frequently? Yes No
4.) How long do you plan on living in your home? 1- 10 years 11-15 years 16-20 years 20 years or more
5.) Where will your family eat their meals? Kitchen Dining Room Other
6.) Do you prefer a kitchen table or willing to explore other options? Yes No
7.) What other activities occur in your kitchen? Choose one Laundry Homework Paying Bills Watching T.V. Computer Center Other
8.) After the remodel will you use this room to entertain? Yes No
-----Note: If you answered yes above will it be Formal Casual Both
9.) Will you have large gatherings, or small gatherings?


Cooking Style

1.) Who is the primary cook? Male Female
2.) Is the primary cook? right-handed left-handed
3.) How tall are they? Choose one 5'5 or shorter 5'6- 5' 9 5'10- 6'2 6'3 or taller
4.) What is the primary cook's style? Choose one Gourmet Meals Family Meals Quick & Simple Meals Carry-In Baking
5.) Will there be more than one person in the kitchen while cooking? Yes No
6.) Does the primary cook have physical limitations? Yes No
-----Note: If yes what are they

Design & Style

1.) Do you have a color preference?
2.) Have you put together notes, photos, ideas you would like to use? Yes No
3.) If a design could be greatly improved are strucural changes an option? Yes No
4.)What do you like about your current kitchen? What do you dislike?

5.) Do you require a recycling center in your kitchen? Yes No
Note: If yes how many items will need to sort? Choose one 1 2 3 4 or more
6.) Will you be keeping your existing appliances ?
----Dishwasher Existing New
----Refrigerator Existing New
----Oven/Range Existing New
7.) What is your style preference for your new kitchen? Choose one Contemporary Formal Country Traditional

Time & Budget

1.) When would you like to begin your project?
2.) When would like for your project to be finished?
3 .) Do you have a budget for this project Yes No

General Information

1.) Name:
2.) Address:
3.) City: State: Zip Code:
4.) Home Phone:
4.) Email Address: *Required Field
5.) Work Phone:
6.) Fax:
7.) New Adress:
------City State Zip Code
8.) Builder Name (if applicable)
9.) Phone: Fax:
10.) Architect Name ( if applicable)
11.) Phone: Fax:
12.)Interior Designer's Name (if applicable)
13.) Phone: Fax: