Family and Lifestyle: 

1. Number of family members:      
2. Number and approximate ages of family members:
Children                       Adults
Age___  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?
__ 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 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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