Planning Questionnaire General Information Name: Mailing Address: City: State: Zip Code: Project Address (if different): City: State: Zip Code: Home Phone: Cell: Email Address: _ Do you have a scrapbook of ideas and pictures? Yes or No If not, it is a good idea to look for some pictures and be sure to note what it is about the pictures you like. Family and Lifestyle Number of family members: Are the primary and secondary cooks right or left handed? Primary: Right or Left Secondary: Right or Left How long do you plan on living in the home you are remodeling/building? 1 to 5 years 6 to 10 years 11 to 20 years 20+ years Where does your family eat its meals? Dining Room Kitchen 1
What other activities will take place in your new kitchen? Homework Watching TV Paying Bills Computer Other What is your shopping style? Shop daily Shop weekly Buy in bulk and freeze Buy non-perishables in bulk Other Entertaining How often do you entertain? A typical party is how many people? Formal or Informal? _ What would you consider your entertainment style? (check all that apply) I like to be the only one in the kitchen with my guests in a separate room away from the kitchen. I like to be the only one in the kitchen with my guests close by in a family room that opens up to the kitchen I like my guests to be sitting in the kitchen visiting with me while I cook I like my guests to help me in the kitchen in meal preparation I like my guests to help in the clean-up process after the meal I retain caterers who prepare meals for entertaining 2
Design What do you like the most about your current kitchen? _ What do you dislike the most about your current kitchen? _ What type of feeling would you like your new kitchen/space to have? (check all that apply) Sleek/Contemporary Open and Airy Warm and Cozy Traditional Formal Strictly Functional What colors do you like? What colors do you dislike? _ What are your preferences regarding the following? (It is okay to say nothing; this just gives us a starting point) Cabinetry Wood Species & Tone: Countertops: Flooring: _ Backsplash: Paint Colors: 3
Do you want to have Green Design elements integrated into your new room design? _ Will you be keeping any existing appliances? If so, please list. What appliances are you considering for your new kitchen? Check all that apply. If you have already selected you appliances, please list the vendor and their contact information. Refrigerator: o Side by Side o Top Freezer o Bottom Freezer o French Door Range: o Freestanding o Slide-In o Gas o Electric o Width (in inches) Built-In Oven: o Single o Double Warming Drawer: Cooktop: o Gas o Electric o Width (in inches) Ventilation Hood: o Concealed o Exposed Microwave: o Countertop o Built-In o Drawer Style o Trim Kit Dishwasher: o Standard Style o Drawer Style Trash Compactor: Beverage Cooler: o Wood Framed Wine Cooler: o Wood Framed Ice Maker: o Width (in inches) Vendor _ Phone _ 4
Accessories and Options Options (check all that want in your design) Rollout Shelves Drawer Stacks Quiet Close Drawer Slides Quiet Close Door Hinges Deep Drawers Custom Drawer Dividers Pot & Pan Drawer Spice Drawer Silverware Drawer Cookie Sheet Dividers Bread Board Pantry Space Mixer Lift Trash Rollout Trash & Recycle Rollout Spice/Utility Rollout Decorative Posts Sink Bump Out Cooktop Bump Out Paneled Cabinet Ends Cookbook Display/Storage Television Area Furniture Style Toe Space Wood Vent Covers Decorative Support Corbels Toe Space Lights Under Upper Lights Over Cabinet Lights Upper Display Lights Glass Doors Glass Doors w/grids Glass Shelves Antique Glass Leaded Glass Stemware Holder Wine Rack Liquor Storage Desk area w/letter Slots Appliance Garage Decorative Hood Staggered Height Cabinets Raised Counter Area Beadboard/V-groove Backs Wainscot Chair Rail Molding Room Crown Molding Bathrooms Mirror Frames Wood Tub Front Stool Topper Cabinet Hair Dryer/Curling Iron Rollout Frameless Shower Doors Double Sink Built-In Step Stool for Kids Furniture Style Vessel Sink Wall Mounted Faucet Other: (please list) _ 5
Project Timeframe and Budget When would you like to begin your project? When would you like your project completed? If you are building new, is the cabinetry budgeted in your contract? Do you have a budget for this project? If not, please refer to the budget worksheet. Yes $ _ No Notes: 6