Family and Lifestyle
1. Number of family members: ___
2. Number and approximate ages of family members:
Children
Age___ Sex___
Age___ Sex___
Age___ Sex___
Age___ Sex___
Adults
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: