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 or more
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- 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. Are there 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're 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:
_________________________________ |
