To help us make your home uniquely you, please complete this form about your wants and needs prior to our initial meeting. It will only take a few minutes. To get started, download/save this document, open it in Adobe Reader, then complete and save. Thanks! We look forward to working with you. Name: E-mail: Cell: Work Phone: Home Phone: Fax: Name: E-mail: Cell: Work Phone: Home Phone: Fax: Current Address: New Home Address: How do you prefer to be contacted? (Check all that apply) Email Cell Home Phone Work Phone Fax House Sq Ft: Age of Home: # Bedrooms: # Bathrooms Household Members: Current Household Please provide us with the names of the members living in your household and what they need to have for space, work, or special needs. Please include ages of each child. NAME WORK, STUDY, SPACE, SPECIAL NEEDS AGE Example: Austin Needs a study area, hangout area, storage for sports equipment, would like his own bath 14
What features do you like best about your current home? What features do you dislike about your current home? Do you anticipate changes for any Household Members: (i.e. new baby, college, retirement, etc.) within the next 2-3 years? Do you have any household pets? If so please list type, size, age, special needs, indoor/outdoor: New Home Design What type of home are you looking for? Rambler 2 Story 1 1/2 Story Split Level Front Garage Side Garage 3-4 Stalls 5+ Stalls What level of the home do you want each room? ( M - Main Floor U - Upper Level B - Basement ) Kitchen Master Suite Bed #2 Storage Room Full Bath #1 WIC Pantry Formal Dining Bed #3 Game Room Full Bath #2 Butler Pantry Sunroom Bed #4 Bar Full Bath #3 Dinette Formal Living Bed #5 Theater 1/2 Bath #1 Laundry #1 Home Office Bed #6 Family Room 1/2 Bath #2 Laundry #2 Great Room Mudroom Hobby Room Do you want basement access from the garage? Yes No What kind of materials do you want on the exterior of your home? Stone Brick Dryvit Steel Siding Vinyl Shakes Hardie Siding Wood Shakes
Kitchen What kitchen cooking appliances are desired? Gas Electric Induction Duel Fuel STOVE OVEN MICROWAVE REFRIGERATOR OTHER Cooktop Wall Built-in Built-in Dishwasher Range Slide-in Convection Convention Side by side Drawer Dishwasher Range Top Steam Drawer French Door / Drawer Beverage Center Warming Drawer Freestanding Built-in Coffee Maker Wine Chiller Island or Peninsula design ( check all that apply) 1 Level 2 Levels Seating Display Cabinet What features would you like in the Island? Main Sink Prep Sink Cooktop Nothing In your new home you would like to be able to eat at - (check all that apply) Kitchen Table Island / Stools Banquette Dining Room What type of Pantry would you like? Walk-In Butler Built-In 2nd Kitchen What type of backsplash do you prefer? Tile Metal Granite/Quartz Glass Master Bath Tile Shower Soaking Tub Jetted/Air Tub Split Vanities Single Vanity Toilet Room Shower Door Makeup Counter Storage & Closets Master Closet Design: Walk-in Walk-thru His / Hers Laundry Access Baskets Island Bench Bath Access Wire Laminate Shelves Shoes Bedroom Access In your other bedroom closets you would like: Walk-in Walk-thru Reach-in Wire Laminate Baskets Do you have any special needs for storage? (i.e. cedar closet, holiday décor, etc.) Yes No If yes, what kind and where:
Bar Are you planning for a Bar? Yes No (If yes what appliances would you like in a wet bar?) REFRIGERATOR DISHWASHER OTHER Full Size Full Size Kegerator Under Counter Drawer Dishwasher Microwave Shelf Beverage Center Microwave Drawer Wine Cooler Ice Maker Entertaining Our entertaining style is: Formal Informal Combination We entertain: 1-2 x Week 1-2 x Month 1-2 x Year Only Holidays Average number of guests: 1-6 7-12 More than 12 Entertaining Type: Meals Music Games Movies/TV Holidays Outdoor Other Culinary How would you describe you culinary ability? Master Chef Home Cook I burn toast What type of cooking do you enjoy? (check all that apply) Gourmet Home-style International Grill / BBQ Heat & Serve Cookies/Bars Deserts Breads On an average day is there more than one cook in the kitchen? Yes No Do you like to have guests in the kitchen with you? Yes No Hobbies How do you enjoy spending your free time? (check all that apply) Reading Entertaining Cooking Home Theater Music Sports Gardening Computers Sewing / Crafts Woodworking Do you have any Collections / Art that you would like to display? Yes No If yes, what is it: Media What are your technical needs? Wireless Cable/DSL Satellite Home Theater Cameras Security Speakers Home Automation
Design Preferences Do you and your partner s style preferences agree? Yes No If no please explain: What feeling and style do you want your new home to have? (Check all that apply) Casual Formal Clean Lines Warm / Cozy Light / Airy Romantic Welcoming Rustic Sophisticated Elegant Trendy Neat & Orderly Historic Conservative Contemporary Vacation Shabby Chic French Country Mission Beach Cottage Art Deco Old World Southwestern Asian Country Cottage Industrial Traditional Modern Minimalist Early American Color Preferences (Check all that apply) Whites Yellows Blues Earth Tones Grays Reds Black Cool Colors Taupe Purples Teal-Aqua Warm Colors Greige Oranges Greens Pastels Light Medium Dark Bright s Colors that you dislike: What types of flooring do you prefer? (Check all that apply) Hardwood Carpet Laminate Porcelain Tile Vinyl Plank Sheet Vinyl Travertine Ceramic Tile What type of countertop material are you interested in? (Check all that apply) Granite Marble Quartz (i.e. SileStone, Cambria, Caesarstone, etc.) Concrete Corian Glass Stainless Laminate Tile Butcher Block Soap Stone What type of wood do you like for cabinets? (Check all that apply) Poplar Maple Oak Alder Walnut Cherry Painted What type of wood do you like for doors and trim? (Check all that apply) Poplar Maple Oak Alder Walnut Cherry Painted What finish do you prefer for door knobs, cabinet knobs, etc.? (Check all that apply) Chrome Brushed Nickel Black Brass Oil Rubbed Copper