Family and Lifestyle:

1. Number of family members: ___

2. Number and approximate ages of family members:

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?
__ Laundry __ Homework __ Watching TV __ Paying Bills__ Sewing 
__ Computer Center    Other:________________

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

If Yes...  What is your entertainment style? __ formal __ informal

Do you have large or small gatherings? __ large or __ small

Do your guests help you in the kitchen when you entertain? 
__ Yes __ No

9. How do you shop?

__ For the week
__ For each meal
__ Buy non-perishable items in bulk
__ Buy in bulk and freeze

If you buy in bulk, do you require storage in the kitchen for all or most of these items?__ Yes __ No

Cooking Style:

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?
__ Gourmet Meals __ Family Meals __ Quick & Simple Meals
__ Baking __ Bringing Meals Home

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?
__ Preparing side dishes __ Clean up __ Assist in preparing main course

12. Does the secondary cook have any physical limitations?
__ Yes __ No What type?_________________________

Design and Style:

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 any of your existing appliances?

Dishwasher: __ existing __ new
Refrigerator: __ existing __ new
Oven/Range: __ existing __ new
Microwave: __ existing __ new

9. What new appliances are you considering?

__ Refrigerator
__ Freezer
__ Wine Refrigerator
__ Under-counter Refrigerator
__ Dishwasher
__ Ice Maker
__ Compactor
__ Range
    __ Free Standing Range    __ Slide-in Range    __ Commercial Range
__ Cooktop
    __ Gas   __ Electric   __ Commercial
__ Wall Oven
__ Double Oven
__ Microwave
__ Steam Oven
__ Metal Hood
__ Custom Hood
__ Downdraft System
__ Built-in Coffee Maker
__ Warming Drawer
__ Washer
__ Dryer
__ Television

10. What are you considering in plumbing?

__ Main Sink
__ Prep Sink

__ Main Faucet
__ Prep Faucet
__ Pot Filler

11. What is your style preference for your new kitchen?
__ Traditional  __ Craftsman  __ French  __ English  __ Classic  __ Contemporary

Time and Budget:

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

General Information:

1. Name:

2. Address:

3. City/ Province/ Postal Code:

4. Home Phone:

5. Cell Phone:

6. Work Phone:

7. Fax:

8. E-mail:

9. New Home Address:

10. City/ State/ Zip:

11. Builder Name (if applicable):

12. Contact Name:

13. Phone:

14. Fax:

15. Architect Name (if applicable):

16. Contact Name:

17. Phone:

18. Fax:

19. Interior Designer Name (if applicable):

20. Contact Name:

21. Phone:

22. Fax: