Kitchen Questionnaire If you are human, leave this field blank. First Name Last Name Address Home Phone Cell Phone Email How did you hear about us? Referral Drive By Print Advertisement Web Search From Who? From Where? Is your project New Construction Remodel When would you ideally like to start and complete the project? Desired start Date Date Desired completion date: What is your primary reason for the remodel? Resale Personal Needs How much do you feel comfortable spending on the project? Are you working with an Architect and/or Interior Designer? Yes No Interior Design Name Interior Designer Phone How long do you plan to live in the home that is being built/remodeled? How many people live in your home? Please provide names and ages below: Are there any physical limitations for anyone residing in your home? Yes No Please describe physical conditions Who cooks? What is the cook's height? Is the cook Right Handed Left Handed How many people typically prepare meals at one time? What type of cooking happens in your kitchen: Gourmet Baking Microwave Other What type of other cooking? How often do you entertain? How would you describe your entertaining style: Formal Casual Other Describe you other entertaining style How and where do you dine? How often do you shop for food? Daily Weekly Monthly What kind/how many pets do you have? Do your children do their homework in the kitchen? Yes No What do you like about your kitchen? What don't you like about your kitchen?