*Name:
Street Address:
City/State/Zip
*Email address:
Phone:
Best time to call:
Referred by whom?
What is your budget?
When will you start?

Lifestyle:

How many people are in your household? 
    Adults:        Children:      Handicapped: 

How many people cook? 
   

Does more than one person cook at the same time?  
    Sometimes  Usually   Never

Does more than one person clean at the same time? 
    Sometimes  Usually   Never

How often do you entertain? 
      

Architecture:

Is this:    
    New construction       Remodelling       Addition   

If remodeling, would you consider structural changes such as moving walls or windows? 
   
  Yes    No   

Describe any unusual structural features of your space:
   

Ceiling height:
    84"    90"  96"   Other 

Ceiling style:
    Flat    Cathedral  Sloping

Kitchen:

Cabinet style:
    Face-frame    European

Cabinetry construction:
    Plywood    Furniture board

Door style:
    Full overlay   Lip door    Inset door

Would you like you cabinets to extend all the way to the ceiling?  
    Yes   No

Wood selection:
    Maple    Oak    Cherry    Hickory    Knotty pine    Other

Type of range: 
    freestanding     slide-in      drop-in      cooktop      commercial style

Ventilation style:  
    Hood       Downdraft

Type of oven: 
    single, under counter      single, wall      double, wall

Type of microwave: 
    Built-in, space saver with range hood 
    Built-in, over oven
    Built-in, base cabinet
    Freestanding, on dedicated shelf 
    Freestanding, on countertop

Primary refrigerator:
    built-in with matching panels    side by side    over and under

Secondary refrigerator or freezer?
    Yes    No

List any existing appliances you wish to keep: 
   

Type of primary sink:
    Standard single bowl    Standard double bowl    Triple bowl    Farm sink

Sink material:
    Stainless    Nickel    Copper  Porcelain

Prep sink:
    Yes    No

 Waste disposal:
    Trash compactor    Cabinet-style    Slide-out under counter

Special features
(check as many as desired)  

Appliance garage   Bread drawerBaking center
Open book shelfConcealed book storageCounter cutting board
Desk spacePigeonhole cabinetEating table
Raised eating countertopLowered eating countertopEating counter
Knife drawerLighting under cabinetsIsland
PeninsulaLazy-susan base cabinets Pantry cabinet
Lazy-susan wall cabinetsPull-out shelf storageSpice storage
Knick-knack shelf Open space above wall cabinetsTray dividers
Window valanceCabinet-top wall moldingWall board soffit
Matching wood soffit Wheelchair accessTelephone cabinet

Enter any additional information you may feel is relevant: