1.	Number and approximate ages of family members
2.	How long do you plan on living in the home you are remodeling?	1 to 5 years  6 to 10  years  11 to 20 years 20+
3.	Where does your family eat its meals?	Kitchen  Dining Room  Other
4.	Where will your family eat after you remodel/build?	Kitchen  Dining Room  Other
5.	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 Preferred but open to other options Not necessary
6.	What other activities will take place in your new kitchen?	Laundry  Homework  Watching TV Paying Bills  Sewing  Computer Center Other
7.	After you remodel/build will you entertain frequently?	Yes  No
	If yes, what is your entertainment style?	Formal  Informal
8.	Do you have large or small gatherings?	Large  Small
9.	Do your  guests help you in the kitchen when you entertain?	Yes  No
10.	How do you shop?	For the week For each meal Buy non-perishable items in bulk Buy in bulk and freeze
11.	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  Right handed
3.	How tall is the primary cook?
4.	What is the primary cook's cooking style?
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.	Is there a secondary cook?	Yes  No
	If there is a secondary cook, which are they?	Left handed  Right handed
8.	How tall is the secondary cook?
9.	Do the secondary cook and the primary cook prepare meals together?	Yes  No
10.	What are the secondary cook's responsibilities?
11.	Does the secondary cook have any physical limitations?	Yes  No
	Design and Style
1.	What are your color preferences for your new kitchen?
2.	Are there colors you would not want in your 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?	Yes  No
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
8.	Which of the following appliances will you be keeping	Dishwasher  Refrigerator Oven/Range  Microwave
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 Information
1.	Name
2.	Address
3.	City
4.	State	AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PQ RI SC SD SK TN TX UT VA VT WA WI WV WY
5.	Zip
6.	Home Phone
7.	Work Phone
8.	Email
9.	Fax
10.	New Home Address
11.	City
12.	State	AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PQ RI SC SD SK TN TX UT VA VT WA WI WV WY
13.	Zip
14.	Builder Name (if applicable)
15.	Contact Name
16.	Phone
17.	Fax
18.	Email
19.	Architect Name (if applicable)
20	Contact Name
21.	Phone
22.	Fax
23.	Email
24.	Interior Designer Name (if applicable)
25.	Contact Name
26.	Phone
27.	Fax
28.	Email