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FAMILY AND LIFESTYLE
1. Number of family
members: ___
2. Number and
approximate ages of family members:
__
infants __ young
children __ teens
__ 20 to 30 yrs __ 31 to 40
yrs __ 41 to 50 yrs
__ 51 to 60 yrs __ 61 to 70
yrs __ 70+
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 to 5 yrs __ 6
to 10 yrs __ 11 to 20 yrs __20+
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:___________________ __
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? ___________________________________________
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)?
__ 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 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
1. Name:
_______________________________________________
2. Address:
____________________________________________
3. City:
_______________________ State: ___ Zip: _______
4. Home Phone:
___________________________
5. Work Phone:
___________________________
6. Fax:
__________________________________
7. New Home Address:
___________________________________
9. 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:
_________________________________ |
