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Family and Lifestyle:
1. Family members:
2.
Approximate ages of family members:
Children AdultsAge___ Sex___
Age___ Sex___Age___ Sex___ Age___ Sex___Age___ Sex___
Age___ Sex___Age___ Sex___ Age___ Sex___
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?
__ 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 entertaining
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 freezeIf 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 while 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, are
they
__ Left-handed or __ Right-handed?
9. How tall is the secondary cook?
________
10. Do the primary and secondary cooks
prepare meals together?
__ Yes __ No
11. What are the secondary cook's
responsibilities?
__ Prepare 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. Which colors do you 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 separate bins do you
need for sorting items? ___
8. Will you be keeping your existing
appliances?
Dishwasher: __ Existing __ New
Refrigerator: __ Existing __ New
Oven/Range: __ Existing __ New
Microwave: __ Existing __ New
9. What is your style preference for
your new kitchen?
__ Contemporary __ Formal__ Country __ Traditional
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/ 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:
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