Family & Lifestyle

 1. Number of family members: ___

 2. Number and ages of family members:

    __ infants     __ young children     __ teens
    __ 20-30 yrs   __ 31-40 yrs          __ 41-50 yrs
    __ 51-60 yrs   __ 61-70 yrs          __ 70+ yrs

 3. If your family has young children, will they be
    using the kitchen frequently? __ Yes  __ No

 4. How long do you plan on living in the home you are
    remodeling/building?

    __ 1-5 yrs   __ 6-10 yrs   __ 11-20 yrs   __ 20+ yrs

 5. Where does your family eat its meals?

    __ Kitchen   __ Dining Room   __ Other:_____________

 6. Where will your family eat after you remodel/build?

    __ Kitchen   __ Dining Room   __ Other:_____________

 7. 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
    __ A kitchen table is preferred, but open to other options
    __ A kitchen table is not necessary

 8. What other activities will take place in your new
    kitchen?

    __ Laundry        __ Homework   __ Watching TV
    __ Paying Bills   __ Sewing     __ Computer Center
    __ Other:___________________

 9. 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?

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

10. How do you shop?

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

    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
    __ Bringing Meals Home        __ Baking

 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

 7. Who is the secondary cook? __________________________

 8. Do the secondary and primary cook prepare meals
    together? __ Yes  __ No

 9. Is the secondary cook __ left-handed or __ right-handed?

10. How tall is the secondary cook? ________

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

 Design & 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)?

    __ Absolutely not  __ I would consider it

 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

 9. What is your style preference for your new kitchen?

    __ contemporary   __ formal
    __ country        __ traditional

 Time & 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

 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: __________________________________