Name: _______________________________
Home Phone: ___________ Local
Phone:
_____________
Cell: ___________
Fax:___________
Email address: _______________________
Mailing address:
______________________________________________
Job site address:
______________________________________________
Architect :
____________
Builder/Contractor:
___________
Interior Designer: ________________
Phone:
___________
Phone:
___________
Phone: _______________
Fax:
______________
Fax:
_____________
Fax: _______________
E-mail: ______________
E-mail :
____________
E-mail: _______________
Billing will be sent to:
Builder
Homeowner
If Builder Billing
Address:______________________________________________
How long do you intend on
living in this home?___1-5
yrs___5-10yrs___10-20yrs.___Family Heirloom
Does your kitchen need to
accommodate anyone with physical
limitations?__________________________
How many people do you want
to seat at your island or peninsula?
Maximum:______Minimum:_________
Typical number of people
you intend to have working at any one time in
your kitchen?________________
What type of cooking do you
normally do?
_____Heat and Serve Meals
_____Full-Course, From Scratch
Meals
_____Bulk Cooking for Freezing/Leftovers
How many family members or
friends will be staying at your home at any one
time?_______________
Childrens
Ages?____________
How tall is the primary
cook?______________
Is the primary cook right
or left handed?________________
What are your color
preferences for this
home?________________________________________________
How would you describe your
personal
style?_________________________________________________
What do you want people
visiting to say about your
kitchen?________________________________________________________________________________
_____________________________________________________
What type of feeling would
you like your new kitchen space to have? (choose
all that apply)
|
_____Sleek/Contemporary
|
_____Warm & Cozy Lodge
|
______ Clean & Simple
|
|
_____Open & Airy
|
_____Strictly Functional
|
______ Formal
|
|
_____Family Retreat/Spa
|
_____Rustic Elegance
|
______ Funky & Creative
|
Do you need space for any of the following in
your new kitchen?
|
_____Computer
|
_____Recycling
|
_____Plant Potting Area
|
|
_____TV
|
_____Dog Food or
Feeding Area
|
_____Hobbies
|
|
_____Desk
|
____Dog Sleeping Area
|
_____Other_________________
|
Do you have any special storage needs or collectibles that need to be displayed in your kitchen?______________________________________________________________________________
_____________________________________________________________________________________
What do you dislike most about your present
kitchen?________________________________________
_____________________________________________________________________________________
What do you like most about your present
kitchen?___________________________________________
_____________________________________________________________________________________
Think of a favorite vacation youve had, was there a certain look or feeling there that you would like to bring
into your new home? Describe this look or feeling:_____________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
CABINETRY NEEDS:
|
Wall Cabinetry:
|
Base Cabinets:
|
Tall Cabinets:
|
|
_____Glass doors
|
_____Lazy Susan
|
_____ Chefs Pantry
|
|
_____Door spice rack
|
_____Cutlery Drawer
|
_____ Pantry with Rollouts
|
|
_____Open shelves
|
_____Spice Drawer
|
_____ Open Shelves
|
|
_____Carousel
|
_____Knife Drawer
|
_____ Utility Storage/Broom Closet
|
|
_____Appliance garage
|
_____Breadbox Drawer
|
_____ Other:___________________
|
|
_____Apothecary/Spice drawers
|
_____Mixer Base
|
|
|
_____Pigeonholes
|
_____Open Shelves
|
|
|
_____Desk organizer
|
_____Towel bar
|
|
|
_____Wine rack
|
_____Tilt-down front
|
|
|
_____Other:______________ |
_____Tray Dividers
|
General:
|
|
_____Trash Pull-Out
|
_____Decorative End Panels
|
|
_____Pull-Out Butcher Block
|
______ Panelling on Back of Island/Peninsula
|
|
_____Roll-Out Drawers
|
_____Decorative Posts/Columns/Feet
|
|
_____Keyboard Pull-Out
|
_____Decorative Valance
|
|
_____Desk Knee Drawer |
_____Undercounter Pantry
|
|
_____Other:______________ |
|
|
|
|
|
|
|
Other cabinetry needs:
______________________________________________________________
__________________________________________________________________________________
APPLIANCES SELECTIONS:
(Fill in as much as you can, circle all that
apply, we will complete at Design Meeting #2)
| Appliances |
Manufacturer
|
Type
|
Dimensions
|
Finish
|
Model #
|
| Refrigerator(1 or 2)
|
|
SidexSide w/out
dispenser
SidexSide w/dispenser
Bottom Freezer
Top FreezerAll FreezerAll Refrigerator |
Depth: Cabinet or StandardWidth:
27,30,33,
36,42,48
|
Stainless
Black
White
Bisque
Panelled
|
|
| |
|
|
|
|
|
| Range
|
|
Professional
Freestanding
Slide-in (knobs on front, lips over counter)
|
Width:30,36,42,
48, 60
|
Stainless
Black
White
Bisque
Other:______
|
|
| |
|
|
|
|
|
| Ovens
|
|
Double
Single
Convection
High Speed
|
Width:27,30,36
|
Stainless
Black White
Bisque
|
|
| |
|
|
|
|
|
| Cooktop
|
|
Professional
Rangetop
Drop-in
GasElectric Glasstop
Modular
|
Width: 30,36,48,60
|
Stainless
Black
White
Bisque
|
|
| |
|
|
|
|
|
|
Hood/Ventilation
|
|
Overhead
Downdraft
Exterior BlowerInterior Blower
|
Width:30,36,42,
48,54,60,72
|
Stainless
Copper
Black White
Bisque
Wood
Stucco
Rock
Tile
Other:_______
|
|
| |
|
|
|
|
|
|
Microwave
|
|
Built-in
On Counter
Over-the-Range
|
Capacity:
Small Medium Large
|
Stainless
Black
White
Bisque
|
|
| |
|
|
|
|
|
|
Dishwasher (1 or 2)
|
|
Standard
-Controls show
Upgraded
-No controls showing
Dish Drawers
|
Width: 18,24,30
|
Stainless
Black
White
Bisque
Panelled
|
|
| |
|
|
|
|
|
|
Undercounter Ref.(1,2,3)
|
|
Refrigerator/Freezer
Ref/Freezer/Icemaker
All Refrigerator
All Freezer
Drawers
|
|
Stainless
Black
White
Panelled
Glass
|
|
| |
|
|
|
|
|
|
Warming Drawer
|
|
|
Width: 24,27,30
|
Stainless
Black
Panelled
|
|
| |
|
|
|
|
|
|
Wine Storage Unit
|
|
2 Temp. Zones
w/Ref. Drawers
w/Ref & Frzr Drwrs
w/Beer Storage
|
Width:15,24
Height:
Undercounter
Tall-Full-Size
|
Stainless
Black
Panelled
Glass
|
|
| |
|
|
|
|
|
| Washer(1 or 2)
|
|
Standard
Built-in Undercounter
Built-in w/Cabinet Surround
Extra Lrg Capacity
With pedestal |
|
Gray
Black
White
Bique
Other:______
|
|
| |
|
|
|
|
|
| Dryer(1 or
2)
|
|
Standard
Built-in Undercounter
Built-in w/Cabinet Surround
Extra Lrg. Capacity
With pedestal
|
|
Gray
Black
White
Bique
Other:______ |
|
