1.

How many cooks are in the family?

2.

Is the cook

__ left handed or __ right handed? 

3.

How tall is the cook?

4.

What is your cooking style? 

5.

Are there any physical limitations?

__ Yes __ No    What type?_________________________

6.

Is there a secondary cook?

__ Yes __ No

7.

If there is a secondary cook, which are they

__ left handed or __ right handed? 

1.

What are your color preferences for your new kitchen?

2.

What is your ceiling height?

3.

Do you want cabinetry to go to the Ceiling?
__ Yes    __ No 

4.

Do you want to vary the heights of your cabinetry?
__ Yes    __ No 

5.

Have you created a scrapbook of notes, photos, and ideas that you would like to use in
your new kitchen?

__ Yes    __ No 

6.

If a design could be greatly improved, would you be willing to make structural changes? 

(i.e. moving windows, doors, and walls) 
__ Yes __ No 

7.

What do you like about your current kitchen?

8.

What do you dislike about your current kitchen? 

9.

What interiors to your cabinetry would you like to incorporate? 

10.

Will you be keeping your existing appliances? 

11.

Do you want any open display or glass door areas? 

__ Yes    __ No 

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

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: