Client Questionnaire

Please take a few moments to complete the information requested below. Brief answers are fine. Some questions may not apply, or you have not thought about the answers yet. The idea is to get to know you a bit, an overall picture of your space as it is now and how you want it to reflect you going forward.

Have fun telling about your wants and needs. We would like to take full advantage of the time we share together, and your input is essential. Thank you for taking the time fill out the form and please note that all information will be kept confidential.

Step 1 of 7

14%

Name
First Last
Home Phone
Mobile Phone
Office Phone
Email
Preferred Form of Contact
Preferred Time of Contact
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Additional Family Members
Design Decisions will be Authorized by:
Financial Decisions will be Authorized by:

Consultants and Preferred Industry Partners

Architect	Engineer	Contractor

Please give names and contact information.

Trades

Electrician	Plumber	Painter	Other	Other

Please give names and contact information.

Scope of Work
- Kitchen
- Bathroom
- Home Office
- Media Room
- Other Project
Please check each area that you are considering or would consider.

How long have you lived in your home?
When was your house built?
How old is the kitchen?
Is this project all at once or over phases?
How long have you been waiting to start said project?
Project Start Date Desired
Project Completion Date Desired
Anticipated Investment
- $10,000 to $20,000
- $20,000 to $30,000
- $30,000 to $50,000
- $50,000 to $70,000
- Greater than $70,000

Client Questionnaire

Step 1 of 7

Design Style

Kitchen Details

Kitchen Activities and Use

Kitchen Appliances and Features

Storage