Kitchen/Bath Questionnaire

Name:
Address:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming     Zip:
Phone:
Email:

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Approximately how old is your home?	years
Approximately how old is your present kitchen?	years
When would you like to start the remodeling?
What is your budget range for the remodeling?
Are you planning on hiring an Interior Designer? If so, which one?
Are you planning on hiring a builder/contractor? If so, which one?

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Is the primary cook right or left handed?	Right Left
Does the primary cook have any physical limitations?	Yes No
Is the primary cook a gourmet cook?	Yes No
Approximately how many family members eat in the kitchen on a regular basis?
How does the family use the kitchen?
Do you frequently entertain?
Is your kitchen used as a social area by family on normal days or by quests when you entertain?	Yes No
Check any of the following that you feel you may need?	Second Sink Second Stove/Oven Second Dishwasher Indoor Grill Pet Feeding Area Wet Bar Wine Storage TV/Stereo Computer/Desk Area Book Shelves
Please describe the styles, themes, colors, finishes, etc. that you have in mind for you new kitchen:
Please describe any additional requirements you may have that were not covered in this questionnaire: